| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
361 |
268 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
235 |
130 |
$12K |
| 92551 |
|
19 |
19 |
$310.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
40 |
$178.40 |
| 90686 |
|
12 |
12 |
$108.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
16 |
$73.28 |
| 85018 |
|
19 |
19 |
$43.14 |
| 99050 |
|
113 |
112 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
27 |
$0.00 |
| 99173 |
|
19 |
19 |
$0.00 |