| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
219 |
211 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78 |
76 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$312.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$299.30 |
| 90686 |
|
31 |
31 |
$181.80 |