| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
380 |
356 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,569 |
1,493 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
685 |
678 |
$2K |
| 90686 |
|
13 |
13 |
$279.76 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
36 |
36 |
$81.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
95 |
95 |
$9.84 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$0.00 |