| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,754 |
11,916 |
$974K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,828 |
1,827 |
$182K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,219 |
5,145 |
$157K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,598 |
1,596 |
$141K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,131 |
1,131 |
$100K |
| 92552 |
|
2,470 |
2,469 |
$64K |
| 99442 |
|
485 |
475 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
187 |
186 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
871 |
865 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
88 |
88 |
$9K |
| 0071A |
|
41 |
41 |
$1K |
| 90686 |
|
833 |
830 |
$1K |
| 0072A |
|
38 |
38 |
$1K |
| 90619 |
|
75 |
75 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
49 |
49 |
$971.25 |
| 0012A |
|
21 |
21 |
$789.83 |
| 0011A |
|
22 |
22 |
$766.07 |
| 90461 |
|
26 |
26 |
$455.40 |
| 90480 |
|
17 |
17 |
$347.56 |
| 90656 |
|
88 |
88 |
$227.04 |
| 92551 |
|
13 |
13 |
$130.70 |
| 90672 |
|
31 |
31 |
$18.82 |
| 91307 |
|
70 |
55 |
$0.42 |
| 90660 |
|
14 |
14 |
$0.00 |
| 91301 |
|
26 |
26 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |