| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
286 |
258 |
$9K |
| 96156 |
|
73 |
69 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
80 |
79 |
$4K |
| G9920 |
Screening performed and negative |
26 |
25 |
$638.00 |
| 85999 |
|
25 |
25 |
$75.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$74.75 |
| 99173 |
|
13 |
13 |
$43.02 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |