| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
156 |
141 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
47 |
44 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
28 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
21 |
19 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
96 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
44 |
42 |
$986.25 |
| 90474 |
|
17 |
16 |
$223.50 |
| 90656 |
|
38 |
35 |
$104.84 |
| T1015 |
Clinic visit/encounter, all-inclusive |
342 |
294 |
$0.00 |
| 90677 |
|
25 |
23 |
$0.00 |
| 90680 |
|
18 |
17 |
$0.00 |
| 90697 |
|
15 |
14 |
$0.00 |