| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,239 |
1,175 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
747 |
710 |
$97K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
454 |
442 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$795.96 |
| 0054A |
|
17 |
14 |
$479.06 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$282.78 |
| 0071A |
|
13 |
13 |
$235.04 |
| 90686 |
|
35 |
16 |
$17.50 |