| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,135 |
1,025 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
42 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
38 |
$4K |
| 90686 |
|
173 |
173 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
66 |
$993.91 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
27 |
$950.34 |
| 90670 |
|
27 |
27 |
$674.45 |
| 90698 |
|
26 |
26 |
$461.69 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
166 |
127 |
$419.57 |
| 90633 |
|
12 |
12 |
$192.41 |
| 90685 |
|
14 |
14 |
$144.10 |
| 90461 |
|
49 |
46 |
$107.20 |