| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
599 |
578 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
157 |
154 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
59 |
$72.60 |
| 90473 |
|
13 |
13 |
$14.53 |
| 90672 |
|
12 |
12 |
$14.52 |
| 99072 |
|
77 |
75 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
25 |
$0.00 |