| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
709 |
632 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
387 |
352 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
36 |
36 |
$2K |
| 90461 |
|
13 |
13 |
$429.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
30 |
$169.76 |
| 96127 |
|
25 |
25 |
$112.16 |
| 92551 |
|
13 |
13 |
$111.91 |
| 99173 |
|
12 |
12 |
$22.55 |
| 90686 |
|
54 |
54 |
$0.00 |