| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,158 |
3,130 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,870 |
1,414 |
$25K |
| 93000 |
|
180 |
168 |
$315.12 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$239.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
117 |
116 |
$130.00 |
| 81002 |
|
209 |
201 |
$71.27 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
30 |
$20.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
79 |
26 |
$0.00 |