| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
406 |
400 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
470 |
469 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
42 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
39 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
171 |
171 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$694.20 |
| 90688 |
|
79 |
79 |
$606.56 |
| 90734 |
|
12 |
12 |
$220.80 |
| 3008F |
|
324 |
324 |
$0.00 |
| 90686 |
|
30 |
30 |
$0.00 |
| 2014F |
|
35 |
35 |
$0.00 |