| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,066 |
2,644 |
$177K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,295 |
1,076 |
$107K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
659 |
569 |
$7K |
| 90686 |
|
305 |
247 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
84 |
67 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$896.10 |
| 87428 |
|
13 |
13 |
$348.43 |