| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
585 |
585 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
455 |
447 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35 |
35 |
$2K |
| 0011A |
|
38 |
38 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
69 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$825.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
37 |
37 |
$418.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$184.21 |
| 96127 |
|
64 |
52 |
$78.91 |