| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
335 |
310 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
218 |
212 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
113 |
113 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
82 |
75 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
101 |
100 |
$230.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
199 |
194 |
$100.00 |
| 90686 |
|
42 |
42 |
$70.00 |
| 85018 |
|
15 |
15 |
$3.24 |
| 90670 |
|
44 |
44 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |