| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
889 |
806 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
165 |
164 |
$908.77 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
161 |
161 |
$285.70 |
| 92551 |
|
467 |
466 |
$235.80 |
| 97802 |
|
472 |
469 |
$182.38 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
66 |
$162.84 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$150.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
45 |
$33.05 |
| 99173 |
|
465 |
464 |
$25.04 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
26 |
$19.50 |
| 90461 |
|
13 |
13 |
$0.00 |
| 90686 |
|
102 |
102 |
$0.00 |