| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
180 |
175 |
$16K |
| 90670 |
|
115 |
114 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
161 |
150 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54 |
54 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
50 |
$5K |
| 90723 |
|
73 |
73 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$3K |
| 90651 |
|
15 |
15 |
$3K |
| 90686 |
|
170 |
165 |
$2K |
| 90680 |
|
26 |
26 |
$2K |
| 90734 |
|
15 |
15 |
$2K |
| 90647 |
|
62 |
61 |
$1K |
| 90633 |
|
13 |
13 |
$238.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
228 |
224 |
$70.72 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
124 |
122 |
$13.60 |