| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
639 |
591 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
452 |
421 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
57 |
51 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
57 |
$4K |
| 92587 |
|
94 |
85 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
28 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
175 |
149 |
$2K |
| 90461 |
|
29 |
26 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
96 |
79 |
$966.49 |
| 90656 |
|
23 |
14 |
$587.95 |
| 99173 |
|
47 |
47 |
$97.51 |
| 90672 |
|
29 |
13 |
$0.28 |
| 90686 |
|
26 |
13 |
$0.25 |