| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
576 |
495 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
628 |
535 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
742 |
639 |
$34K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
200 |
173 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
631 |
555 |
$6K |
| 96127 |
|
545 |
465 |
$3K |
| 99384 |
|
17 |
15 |
$1K |
| 90688 |
|
259 |
230 |
$231.47 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$150.08 |
| 90686 |
|
119 |
110 |
$20.17 |
| 90734 |
|
12 |
12 |
$0.00 |