| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
412 |
331 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
267 |
220 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
98 |
72 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
111 |
87 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
20 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$977.12 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$258.98 |
| 85018 |
|
95 |
75 |
$192.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$189.54 |
| 93000 |
|
13 |
12 |
$181.55 |
| 90688 |
|
21 |
19 |
$113.58 |
| 99173 |
|
34 |
30 |
$53.07 |
| 81002 |
|
12 |
12 |
$24.78 |
| 82947 |
|
12 |
12 |
$17.84 |
| 90680 |
|
39 |
30 |
$0.00 |
| 90698 |
|
20 |
12 |
$0.00 |
| 90670 |
|
59 |
44 |
$0.00 |