| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,232 |
695 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
827 |
731 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
234 |
31 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$109.33 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$48.01 |
| 90686 |
|
55 |
52 |
$0.00 |
| 90688 |
|
14 |
13 |
$0.00 |