| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
469 |
439 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
209 |
196 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
220 |
202 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
55 |
$3K |
| 90686 |
|
172 |
160 |
$1K |
| 90670 |
|
186 |
162 |
$1K |
| 90698 |
|
126 |
105 |
$870.80 |
| 85018 |
|
365 |
360 |
$719.60 |
| 90680 |
|
53 |
40 |
$363.03 |
| 90744 |
|
48 |
38 |
$279.00 |
| 90688 |
|
17 |
15 |
$224.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
46 |
$184.15 |
| 92551 |
|
14 |
13 |
$70.60 |
| 90461 |
|
645 |
297 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
789 |
742 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
35 |
34 |
$0.00 |
| 1126F |
|
66 |
61 |
$0.00 |