| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
604 |
515 |
$20K |
| 96156 |
|
224 |
224 |
$12K |
| G9920 |
Screening performed and negative |
113 |
113 |
$3K |
| 92551 |
|
111 |
111 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
12 |
$945.47 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
132 |
$741.75 |
| 90686 |
|
82 |
82 |
$675.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$153.51 |
| 99173 |
|
123 |
123 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
13 |
$0.00 |
| 96127 |
|
43 |
43 |
$0.00 |