| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
711 |
650 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131 |
115 |
$5K |
| 90686 |
|
382 |
377 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
268 |
265 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
225 |
203 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
17 |
$595.64 |
| 90649 |
|
17 |
16 |
$0.00 |