| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,038 |
1,849 |
$109K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
130 |
124 |
$2K |
| 99050 |
|
28 |
26 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
92 |
92 |
$818.97 |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
12 |
$591.89 |