| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
844 |
723 |
$2K |
| 99000 |
|
293 |
276 |
$104.11 |
| 92551 |
|
173 |
173 |
$98.26 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$54.28 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$43.41 |
| 99173 |
|
195 |
194 |
$22.80 |
| 85018 |
|
152 |
150 |
$20.50 |
| 81002 |
|
26 |
26 |
$6.39 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$0.00 |
| 1000F |
|
90 |
87 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
80 |
$0.00 |