| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79,947 |
59,869 |
$3.57M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,446 |
9,199 |
$202K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,936 |
3,883 |
$194K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,752 |
3,695 |
$192K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,174 |
2,138 |
$110K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,636 |
1,601 |
$82K |
| 90461 |
|
3,861 |
3,802 |
$68K |
| 90697 |
|
373 |
367 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
523 |
498 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
287 |
279 |
$14K |
| 90733 |
|
382 |
376 |
$10K |
| 90658 |
|
1,117 |
1,102 |
$9K |
| 90716 |
|
544 |
532 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
301 |
297 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
190 |
189 |
$3K |
| 90670 |
|
838 |
809 |
$3K |
| 90707 |
|
514 |
502 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
42 |
$2K |
| 90715 |
|
228 |
225 |
$1K |
| 99383 |
|
12 |
12 |
$919.50 |
| 90649 |
|
12 |
12 |
$661.96 |
| 90700 |
|
445 |
433 |
$538.09 |
| 90633 |
|
288 |
286 |
$471.51 |
| 90713 |
|
112 |
109 |
$206.99 |
| 99381 |
|
13 |
12 |
$200.00 |
| 90647 |
|
201 |
198 |
$145.33 |
| 90657 |
|
72 |
72 |
$111.28 |
| 97802 |
|
21 |
21 |
$59.37 |
| 90723 |
|
131 |
131 |
$6.00 |