| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
569 |
505 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
84 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
198 |
192 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
26 |
$727.30 |
| 81002 |
|
16 |
16 |
$43.66 |
| 97802 |
|
48 |
47 |
$5.00 |
| 90656 |
|
40 |
38 |
$0.00 |