| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,083 |
1,070 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,365 |
1,251 |
$81K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
975 |
973 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
526 |
526 |
$48K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,272 |
1,267 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
163 |
159 |
$14K |
| 99460 |
|
123 |
123 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
113 |
113 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
51 |
50 |
$1K |