| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
359 |
331 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
344 |
285 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
978 |
822 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
266 |
242 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
15 |
$2K |
| 81002 |
|
231 |
218 |
$0.00 |
| 85018 |
|
93 |
92 |
$0.00 |
| 90686 |
|
328 |
312 |
$0.00 |