| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
654 |
621 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
408 |
406 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$354.43 |
| 90686 |
|
198 |
198 |
$281.46 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
50 |
50 |
$113.82 |