| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
679 |
543 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
27 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$862.73 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$284.80 |
| 99173 |
|
46 |
34 |
$64.58 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
136 |
112 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
88 |
71 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |