| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
234 |
227 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
212 |
206 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
288 |
269 |
$11K |
| 90723 |
|
256 |
251 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
345 |
333 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
227 |
213 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
25 |
$2K |
| 90670 |
|
294 |
278 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
34 |
32 |
$1K |
| 90686 |
|
234 |
233 |
$1K |
| 90647 |
|
203 |
188 |
$998.41 |
| 99188 |
|
62 |
61 |
$940.37 |
| 90681 |
|
77 |
69 |
$354.73 |
| 90651 |
|
26 |
26 |
$147.70 |
| 90474 |
|
19 |
15 |
$79.10 |
| 90633 |
|
12 |
12 |
$71.95 |