| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
296 |
280 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
263 |
247 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
237 |
222 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
476 |
464 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
317 |
310 |
$6K |
| 99381 |
|
66 |
59 |
$6K |
| 99383 |
|
27 |
27 |
$3K |
| 90474 |
|
155 |
155 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 92585 |
|
14 |
14 |
$1K |
| 99461 |
|
85 |
41 |
$965.60 |
| 96161 |
|
87 |
80 |
$190.10 |
| 99177 |
|
79 |
78 |
$20.00 |
| 90685 |
|
72 |
72 |
$0.00 |
| 90670 |
|
243 |
241 |
$0.00 |
| 90698 |
|
233 |
231 |
$0.00 |
| 90680 |
|
156 |
156 |
$0.00 |
| 90686 |
|
93 |
92 |
$0.00 |
| 90744 |
|
164 |
162 |
$0.00 |
| 92558 |
|
14 |
14 |
$0.00 |