| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,882 |
4,974 |
$301K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,140 |
987 |
$85K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
648 |
557 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
181 |
136 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,017 |
848 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
243 |
219 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
45 |
44 |
$4K |
| 81002 |
|
645 |
325 |
$2K |
| 59425 |
|
18 |
13 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90682 |
|
18 |
17 |
$471.43 |
| 90686 |
|
121 |
105 |
$265.23 |
| 90688 |
|
29 |
28 |
$80.92 |
| 96127 |
|
21 |
12 |
$54.21 |
| 90670 |
|
31 |
29 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
31 |
31 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |