| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
130 |
$3K |
| 90656 |
|
12 |
12 |
$56.94 |
| 90686 |
|
106 |
100 |
$54.32 |
| 91301 |
|
19 |
16 |
$0.18 |
| 90832 |
Psychotherapy, 30 minutes with patient |
596 |
357 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
79 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,556 |
2,179 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,695 |
1,483 |
$0.00 |