| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
546 |
481 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
120 |
119 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
21 |
21 |
$2K |
| 3008F |
|
56 |
56 |
$500.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$195.50 |
| 92551 |
|
34 |
31 |
$194.01 |
| 99173 |
|
26 |
26 |
$46.64 |