| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
723 |
687 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
413 |
409 |
$26K |
| 90686 |
|
166 |
166 |
$276.43 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
54 |
54 |
$153.79 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$0.00 |