| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
40 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
37 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
75 |
41 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
69 |
$2K |
| 96127 |
|
14 |
14 |
$353.78 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$267.48 |