| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
274 |
270 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
157 |
152 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
101 |
96 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
190 |
184 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
99 |
99 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
34 |
32 |
$2K |
| 99460 |
|
20 |
16 |
$1K |
| 90686 |
|
23 |
21 |
$102.54 |
| 90670 |
|
43 |
43 |
$0.00 |
| 90648 |
|
43 |
43 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |