| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,433 |
1,334 |
$133K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
544 |
417 |
$59K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
621 |
545 |
$56K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,575 |
2,351 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
322 |
313 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
471 |
390 |
$28K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
471 |
405 |
$16K |
| 99215 |
Prolong outpt/office vis |
195 |
185 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
215 |
195 |
$9K |
| 81002 |
|
538 |
390 |
$5K |
| 81025 |
|
195 |
190 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
47 |
47 |
$3K |
| 99070 |
|
40 |
39 |
$704.08 |
| 97804 |
|
12 |
12 |
$226.17 |