| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
87 |
86 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
112 |
108 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
51 |
51 |
$3K |
| 90723 |
|
98 |
98 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
146 |
138 |
$2K |
| 90670 |
|
209 |
201 |
$1K |
| 90686 |
|
139 |
137 |
$807.39 |
| 90647 |
|
129 |
124 |
$707.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
44 |
39 |
$489.05 |
| 90681 |
|
25 |
25 |
$139.74 |