| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
608 |
520 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
596 |
497 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
638 |
571 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
78 |
71 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
32 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
147 |
126 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
19 |
13 |
$1K |
| 90716 |
|
19 |
12 |
$0.00 |
| 90658 |
|
266 |
222 |
$0.00 |
| 90707 |
|
19 |
12 |
$0.00 |
| 90700 |
|
18 |
12 |
$0.00 |