| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,190 |
970 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
398 |
365 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
174 |
83 |
$1K |
| 92552 |
|
101 |
93 |
$518.99 |
| 92081 |
|
90 |
82 |
$468.15 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
21 |
16 |
$280.00 |
| 90658 |
|
17 |
17 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |