| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
419 |
381 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
258 |
220 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
49 |
49 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
596 |
585 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
215 |
211 |
$1K |
| 90686 |
|
123 |
117 |
$661.72 |
| 90670 |
|
73 |
73 |
$43.56 |
| 90698 |
|
49 |
49 |
$0.00 |