| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,281 |
1,166 |
$75K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
542 |
541 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
40 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
94 |
94 |
$4K |
| 99072 |
|
108 |
102 |
$3K |
| 90686 |
|
181 |
181 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 90756 |
|
16 |
16 |
$390.24 |
| 90672 |
|
27 |
27 |
$345.12 |
| 85018 |
|
13 |
13 |
$34.32 |
| 81002 |
|
234 |
233 |
$9.24 |