| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
172 |
163 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
168 |
161 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
73 |
51 |
$3K |
| 99383 |
|
22 |
22 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
74 |
72 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$992.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
103 |
101 |
$883.15 |
| 87428 |
|
13 |
13 |
$826.67 |
| 99051 |
|
14 |
14 |
$350.00 |
| H0033 |
Oral medication administration, direct observation |
24 |
22 |
$0.24 |