| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
204 |
203 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
278 |
266 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
158 |
157 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
123 |
123 |
$8K |
| 90723 |
|
246 |
245 |
$6K |
| 99188 |
|
379 |
377 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
442 |
430 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
250 |
232 |
$3K |
| 90670 |
|
395 |
382 |
$2K |
| 90686 |
|
280 |
279 |
$2K |
| 90647 |
|
280 |
272 |
$2K |
| 90633 |
|
89 |
89 |
$514.86 |
| 90681 |
|
57 |
52 |
$282.44 |