| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
468 |
440 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
53 |
50 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
605 |
598 |
$4K |
| 90686 |
|
353 |
352 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
51 |
51 |
$0.00 |
| 99177 |
|
17 |
17 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |