| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,397 |
1,314 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
313 |
304 |
$18K |
| 90686 |
|
113 |
113 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
55 |
52 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
82 |
$1K |