| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
741 |
670 |
$157K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
411 |
376 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
90 |
84 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
60 |
56 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
19 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
311 |
298 |
$183.98 |
| 87430 |
|
131 |
123 |
$147.94 |
| 90686 |
|
26 |
23 |
$88.73 |
| 92551 |
|
250 |
243 |
$76.32 |
| 99173 |
|
246 |
236 |
$19.44 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
243 |
203 |
$12.05 |
| 36416 |
|
34 |
34 |
$0.00 |
| 3074F |
|
871 |
769 |
$0.00 |
| 85018 |
|
34 |
34 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 3078F |
|
859 |
763 |
$0.00 |
| 87400 |
|
17 |
12 |
$0.00 |