| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
748 |
667 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
799 |
705 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
235 |
150 |
$18K |
| 99215 |
Prolong outpt/office vis |
273 |
253 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
82 |
82 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
88 |
88 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
368 |
328 |
$460.00 |
| 90647 |
|
45 |
37 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
225 |
208 |
$0.00 |
| 90670 |
|
46 |
38 |
$0.00 |
| 90700 |
|
27 |
25 |
$0.00 |