| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
607 |
560 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
66 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
130 |
129 |
$318.06 |
| 90686 |
|
33 |
33 |
$102.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
25 |
$101.64 |
| 90698 |
|
12 |
12 |
$0.00 |