| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99460 |
|
138 |
137 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
206 |
205 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
84 |
83 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
224 |
218 |
$3K |
| 99462 |
|
56 |
47 |
$2K |
| 90723 |
|
44 |
44 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$1K |
| 90686 |
|
220 |
220 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
18 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
17 |
$857.31 |
| 90670 |
|
63 |
63 |
$356.70 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
28 |
$313.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$313.08 |
| 90647 |
|
39 |
38 |
$216.53 |