| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
404 |
379 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
110 |
104 |
$11K |
| 99051 |
|
41 |
32 |
$214.20 |
| 90686 |
|
25 |
25 |
$174.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
172 |
171 |
$26.13 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
51 |
51 |
$0.00 |