| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
363 |
356 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
73 |
73 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
467 |
466 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
43 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
181 |
179 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 90688 |
|
76 |
75 |
$517.36 |
| 94010 |
|
13 |
12 |
$321.66 |
| 90698 |
|
14 |
14 |
$257.60 |
| 96161 |
|
15 |
15 |
$62.55 |
| 2014F |
|
40 |
39 |
$0.00 |
| 3008F |
|
283 |
281 |
$0.00 |