| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
645 |
616 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
370 |
345 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
153 |
152 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$234.49 |
| 92552 |
|
63 |
58 |
$138.72 |
| 96160 |
|
54 |
52 |
$107.58 |
| 90686 |
|
40 |
40 |
$76.76 |
| 96127 |
|
26 |
13 |
$54.87 |
| 99173 |
|
31 |
29 |
$7.46 |