| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
407 |
386 |
$21K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
414 |
410 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
473 |
433 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
327 |
318 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
76 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
39 |
$3K |
| 90670 |
|
112 |
112 |
$1K |
| 90647 |
|
40 |
40 |
$624.94 |
| 90686 |
|
177 |
173 |
$47.07 |
| 90473 |
|
28 |
28 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90680 |
|
41 |
41 |
$0.00 |
| 90723 |
|
55 |
55 |
$0.00 |