| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,143 |
971 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
226 |
217 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 90686 |
|
151 |
150 |
$1K |
| 90670 |
|
89 |
89 |
$629.93 |
| 90723 |
|
14 |
14 |
$301.42 |
| 90648 |
|
39 |
39 |
$277.82 |
| 90680 |
|
28 |
28 |
$199.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$192.26 |
| 81025 |
|
17 |
15 |
$146.06 |
| 82950 |
|
13 |
13 |
$83.28 |
| 85018 |
|
12 |
12 |
$38.75 |
| 85014 |
|
12 |
12 |
$38.75 |