| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
347 |
300 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
79 |
70 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
48 |
44 |
$2K |
| 90671 |
|
32 |
32 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
81 |
33 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$716.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
73 |
$686.35 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
18 |
$354.60 |
| 96127 |
|
96 |
73 |
$212.24 |
| 99173 |
|
115 |
111 |
$153.74 |
| 90648 |
|
43 |
43 |
$140.55 |
| 90633 |
|
16 |
14 |
$76.85 |
| 90461 |
|
14 |
12 |
$35.00 |