| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,440 |
3,243 |
$626K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
509 |
504 |
$98K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
470 |
466 |
$91K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
406 |
400 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
363 |
360 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
166 |
162 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
57 |
$11K |
| 99384 |
|
55 |
51 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
45 |
$8K |
| 99383 |
|
13 |
13 |
$3K |
| 90715 |
|
117 |
115 |
$0.00 |
| 90710 |
|
30 |
28 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,980 |
1,946 |
$0.00 |
| 90461 |
|
1,174 |
1,154 |
$0.00 |
| 90633 |
|
152 |
149 |
$0.00 |
| 90670 |
|
222 |
218 |
$0.00 |
| 90700 |
|
57 |
55 |
$0.00 |
| 81003 |
|
53 |
48 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90651 |
|
320 |
315 |
$0.00 |
| 90620 |
|
172 |
166 |
$0.00 |
| 90619 |
|
302 |
294 |
$0.00 |
| 90677 |
|
56 |
55 |
$0.00 |
| 90686 |
|
635 |
625 |
$0.00 |
| 90697 |
|
109 |
107 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |