| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,212 |
964 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
203 |
164 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
70 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
181 |
172 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
81 |
81 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
374 |
371 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
71 |
70 |
$1K |
| 90670 |
|
100 |
100 |
$900.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
114 |
112 |
$791.84 |
| 86580 |
|
357 |
354 |
$699.75 |
| 90698 |
|
65 |
65 |
$585.00 |
| 92551 |
|
147 |
147 |
$487.20 |
| 90680 |
|
49 |
49 |
$441.00 |
| 99173 |
|
128 |
128 |
$129.48 |
| 90686 |
|
195 |
194 |
$9.00 |