| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
136 |
131 |
$9K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
27 |
15 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
46 |
$969.62 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
26 |
$830.48 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$326.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
44 |
42 |
$154.36 |