| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
280 |
251 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
260 |
259 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
116 |
115 |
$2K |
| 92551 |
|
92 |
92 |
$435.81 |
| 94760 |
|
46 |
43 |
$71.47 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90686 |
|
80 |
80 |
$0.00 |