| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
278 |
271 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
147 |
132 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
70 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
224 |
221 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
46 |
44 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
129 |
127 |
$3K |
| 90686 |
|
40 |
40 |
$227.99 |
| 90723 |
|
16 |
15 |
$0.00 |
| 90648 |
|
28 |
27 |
$0.00 |
| 90670 |
|
28 |
27 |
$0.00 |