| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,252 |
3,223 |
$209K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
426 |
395 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
721 |
685 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
226 |
209 |
$9K |
| 36410 |
|
157 |
154 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
67 |
55 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
174 |
168 |
$2K |
| 90686 |
|
241 |
241 |
$2K |
| 3008F |
|
781 |
700 |
$469.00 |
| 90656 |
|
14 |
14 |
$226.42 |
| 99070 |
|
74 |
62 |
$0.00 |
| 99072 |
|
34 |
31 |
$0.00 |