| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
168 |
164 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
100 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
36 |
34 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
119 |
116 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
45 |
43 |
$979.89 |
| 90686 |
|
12 |
12 |
$64.48 |
| 90670 |
|
14 |
12 |
$0.00 |
| 90648 |
|
14 |
13 |
$0.00 |