| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
282 |
239 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
296 |
266 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
28 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
63 |
50 |
$867.35 |
| 85018 |
|
115 |
113 |
$266.68 |
| 92551 |
|
16 |
13 |
$107.51 |
| 81003 |
|
40 |
39 |
$71.68 |
| 99173 |
|
32 |
28 |
$54.00 |
| 3008F |
|
83 |
71 |
$0.00 |
| 90686 |
|
104 |
93 |
$0.00 |