| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,249 |
1,240 |
$158K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,289 |
1,285 |
$155K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,162 |
1,075 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,089 |
1,922 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
947 |
920 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
430 |
408 |
$34K |
| 99499 |
|
959 |
944 |
$28K |
| 90686 |
|
1,047 |
1,030 |
$13K |
| 92552 |
|
561 |
540 |
$12K |
| 90670 |
|
813 |
786 |
$6K |
| 90633 |
|
460 |
457 |
$6K |
| 90651 |
|
296 |
291 |
$5K |
| 90680 |
|
462 |
451 |
$3K |
| 90698 |
|
424 |
411 |
$3K |
| 90619 |
|
115 |
109 |
$3K |
| 90710 |
|
379 |
374 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,076 |
1,017 |
$3K |
| 90734 |
|
218 |
210 |
$2K |
| 90648 |
|
175 |
174 |
$2K |
| 99381 |
|
13 |
13 |
$1K |
| 90744 |
|
106 |
92 |
$1K |
| 92551 |
|
528 |
508 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
673 |
443 |
$1K |
| 99173 |
|
320 |
308 |
$932.55 |
| 90715 |
|
96 |
96 |
$845.72 |
| 96127 |
|
169 |
162 |
$694.64 |
| 90696 |
|
60 |
58 |
$485.40 |
| 90688 |
|
13 |
12 |
$214.08 |
| 90700 |
|
12 |
12 |
$153.44 |
| 96160 |
|
76 |
71 |
$45.98 |
| 96161 |
|
26 |
26 |
$4.36 |
| 83655 |
|
333 |
326 |
$0.00 |