| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
324 |
312 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
77 |
76 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
326 |
325 |
$243.12 |
| 90680 |
|
25 |
25 |
$0.00 |
| 90698 |
|
26 |
26 |
$0.00 |
| 90474 |
|
25 |
25 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
88 |
88 |
$0.00 |
| 90670 |
|
28 |
28 |
$0.00 |