| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,339 |
1,198 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,077 |
980 |
$56K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
659 |
618 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54 |
49 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
42 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
147 |
136 |
$2K |
| 90686 |
|
98 |
94 |
$378.19 |
| 99000 |
|
25 |
24 |
$6.00 |
| 90685 |
|
12 |
12 |
$0.04 |