| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,922 |
1,765 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
868 |
811 |
$64K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
398 |
385 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
40 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
12 |
$233.48 |
| 96160 |
|
26 |
26 |
$95.00 |
| 96127 |
|
27 |
27 |
$73.05 |
| 90686 |
|
13 |
13 |
$6.50 |