| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
384 |
370 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
599 |
574 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
278 |
263 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
173 |
169 |
$13K |
| 90670 |
|
51 |
50 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
73 |
71 |
$6K |
| 90698 |
|
62 |
60 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
143 |
137 |
$5K |
| 90680 |
|
62 |
60 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
13 |
$611.24 |
| 90633 |
|
40 |
38 |
$544.88 |
| 90744 |
|
14 |
13 |
$358.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
17 |
$271.04 |
| 99177 |
|
428 |
418 |
$138.56 |
| 99173 |
|
253 |
246 |
$12.15 |
| 90461 |
|
158 |
152 |
$0.00 |
| 90671 |
|
76 |
74 |
$0.00 |
| 90686 |
|
87 |
83 |
$0.00 |
| 90656 |
|
34 |
34 |
$0.00 |
| 92551 |
|
158 |
152 |
$0.00 |