| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87 |
73 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20 |
16 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20 |
19 |
$482.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$415.44 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90648 |
|
15 |
15 |
$0.00 |
| 90670 |
|
15 |
15 |
$0.00 |