| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
526 |
481 |
$7K |
| 99442 |
|
188 |
182 |
$2K |
| 99441 |
|
72 |
67 |
$523.35 |
| 99385 |
|
13 |
13 |
$431.68 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
28 |
$315.04 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
52 |
52 |
$300.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
83 |
$290.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$239.43 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
16 |
$160.67 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19 |
19 |
$100.00 |
| 3008F |
|
752 |
705 |
$67.05 |
| 3074F |
|
464 |
434 |
$0.00 |
| 1126F |
|
98 |
97 |
$0.00 |
| 3079F |
|
85 |
82 |
$0.00 |
| 98967 |
|
13 |
13 |
$0.00 |
| 90674 |
|
88 |
86 |
$0.00 |
| 3075F |
|
15 |
15 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |
| 1159F |
|
583 |
548 |
$0.00 |
| 3078F |
|
385 |
360 |
$0.00 |
| 1160F |
|
581 |
546 |
$0.00 |
| 99173 |
|
39 |
38 |
$0.00 |
| 98966 |
|
33 |
30 |
$0.00 |