| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
54 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
32 |
$3K |
| 90686 |
|
33 |
33 |
$233.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$0.00 |
| 97802 |
|
14 |
14 |
$0.00 |
| 90461 |
|
27 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
19 |
$0.00 |