| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
832 |
785 |
$63K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
182 |
181 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
50 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
25 |
$936.67 |