| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
456 |
439 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
247 |
241 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
166 |
165 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
64 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
76 |
76 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
177 |
177 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
51 |
$1K |
| 97802 |
|
40 |
40 |
$500.94 |
| 90461 |
|
12 |
12 |
$52.80 |
| 90670 |
|
75 |
75 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| 90698 |
|
18 |
18 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |