| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,160 |
1,039 |
$314.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
503 |
483 |
$88.00 |
| 85018 |
|
387 |
378 |
$24.60 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
46 |
$17.00 |
| 90686 |
|
195 |
195 |
$0.00 |
| 92551 |
|
216 |
216 |
$0.00 |
| 94760 |
|
270 |
248 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
94 |
93 |
$0.00 |
| 99173 |
|
246 |
246 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
179 |
173 |
$0.00 |
| 94150 |
|
13 |
13 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 99188 |
|
14 |
14 |
$0.00 |