| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
611 |
582 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
72 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
117 |
113 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
101 |
95 |
$1K |
| 90686 |
|
162 |
153 |
$945.65 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$863.50 |
| 90715 |
|
27 |
27 |
$777.20 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$581.64 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$52.00 |
| 81003 |
|
46 |
42 |
$43.25 |
| 99173 |
|
109 |
103 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
511 |
465 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
95 |
95 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
475 |
437 |
$0.00 |
| 92551 |
|
71 |
66 |
$0.00 |