| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
455 |
449 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
198 |
193 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
54 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
225 |
222 |
$3K |
| 90686 |
|
261 |
261 |
$1K |
| 99188 |
|
55 |
55 |
$849.86 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
44 |
41 |
$598.49 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$206.40 |
| 90670 |
|
38 |
38 |
$200.65 |
| 90647 |
|
14 |
14 |
$78.26 |