| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
362 |
359 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
118 |
118 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
70 |
70 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
528 |
527 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
234 |
229 |
$1K |
| 90688 |
|
109 |
109 |
$1K |
| 90633 |
|
13 |
13 |
$220.80 |
| 90698 |
|
12 |
12 |
$220.80 |
| 92551 |
|
13 |
13 |
$112.64 |
| 2014F |
|
81 |
81 |
$0.00 |
| 3008F |
|
405 |
405 |
$0.00 |