| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,034 |
3,026 |
$162K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
53 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
792 |
672 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
328 |
252 |
$1K |
| 92551 |
|
517 |
436 |
$13.65 |
| 85018 |
|
17 |
12 |
$6.48 |
| 1159F |
|
2,102 |
1,583 |
$1.91 |
| 97802 |
|
241 |
196 |
$0.39 |
| 90686 |
|
68 |
56 |
$0.00 |
| 1126F |
|
177 |
120 |
$0.00 |
| 3074F |
|
158 |
125 |
$0.00 |
| 1160F |
|
2,106 |
1,591 |
$0.00 |
| 99173 |
|
540 |
458 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
12 |
$0.00 |
| 90655 |
|
29 |
28 |
$0.00 |
| 3078F |
|
158 |
121 |
$0.00 |