| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
478 |
411 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
650 |
567 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
322 |
306 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
238 |
229 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
133 |
123 |
$12K |
| 90686 |
|
484 |
434 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$2K |
| 90648 |
|
102 |
79 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
572 |
499 |
$1K |
| 90670 |
|
48 |
37 |
$769.74 |
| 90656 |
|
43 |
43 |
$730.41 |
| 90677 |
|
38 |
27 |
$459.09 |
| 90723 |
|
24 |
24 |
$408.30 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
137 |
122 |
$285.60 |
| 90734 |
|
16 |
12 |
$241.71 |