| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
230 |
207 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
66 |
45 |
$3K |
| 99460 |
|
48 |
34 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42 |
40 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
34 |
$351.75 |
| 92551 |
|
15 |
15 |
$132.14 |
| 90686 |
|
72 |
65 |
$0.00 |
| 90688 |
|
29 |
26 |
$0.00 |