| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
627 |
597 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
123 |
114 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
709 |
701 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 90686 |
|
131 |
131 |
$345.90 |
| 99177 |
|
261 |
259 |
$241.36 |
| 90473 |
|
14 |
14 |
$174.24 |
| 90670 |
|
42 |
42 |
$146.13 |
| 90672 |
|
14 |
14 |
$40.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
231 |
229 |
$0.00 |
| 90698 |
|
42 |
42 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90474 |
|
12 |
12 |
$0.00 |