| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
614 |
560 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
356 |
316 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
193 |
193 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
952 |
947 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
165 |
138 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
118 |
118 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
246 |
246 |
$7K |
| 90474 |
|
12 |
12 |
$144.96 |
| 90686 |
|
343 |
343 |
$19.30 |
| 90685 |
|
60 |
60 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |