| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
390 |
363 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
27 |
$2K |
| 92551 |
|
180 |
174 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
105 |
102 |
$1K |
| 99384 |
|
17 |
16 |
$721.52 |
| 99173 |
|
203 |
194 |
$275.22 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
38 |
38 |
$228.25 |
| 85018 |
|
36 |
12 |
$28.32 |