| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
76 |
$0.00 |
| 92551 |
|
454 |
451 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
68 |
68 |
$0.00 |
| 3008F |
|
252 |
202 |
$0.00 |
| 81000 |
|
159 |
159 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
184 |
155 |
$0.00 |
| 85018 |
|
15 |
15 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,078 |
973 |
$0.00 |
| 99173 |
|
203 |
200 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$0.00 |