| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
397 |
331 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
487 |
442 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
728 |
718 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
304 |
304 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 90686 |
|
185 |
183 |
$492.40 |
| 90698 |
|
50 |
50 |
$262.75 |
| 90474 |
|
24 |
24 |
$87.12 |
| 90670 |
|
67 |
67 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90680 |
|
24 |
24 |
$0.00 |