| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
87 |
84 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
25 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
26 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
208 |
206 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 90686 |
|
90 |
90 |
$687.78 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
170 |
168 |
$385.56 |
| 90688 |
|
13 |
13 |
$57.78 |
| 90670 |
|
24 |
24 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |