| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,837 |
1,944 |
$195K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
154 |
77 |
$7K |
| 90686 |
|
182 |
116 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
15 |
$711.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
44 |
37 |
$0.00 |