| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
221 |
198 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
140 |
121 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
63 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
591 |
575 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$2K |
| 90686 |
|
155 |
155 |
$664.05 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
176 |
168 |
$336.00 |
| 90670 |
|
29 |
25 |
$41.43 |
| 81002 |
|
13 |
12 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90698 |
|
28 |
25 |
$0.00 |