| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
254 |
232 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
25 |
$2K |
| 90686 |
|
55 |
55 |
$682.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
58 |
$109.78 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
12 |
$0.00 |