| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
625 |
582 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
761 |
709 |
$62K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
554 |
544 |
$32K |
| 90686 |
|
306 |
300 |
$6K |
| 90461 |
|
65 |
65 |
$4K |
| 90674 |
|
81 |
79 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
15 |
$426.15 |