| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
189 |
186 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
50 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30 |
24 |
$797.55 |
| 96127 |
|
27 |
26 |
$431.34 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
43 |
43 |
$389.15 |