| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
546 |
459 |
$41K |
| 99215 |
Prolong outpt/office vis |
381 |
342 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
230 |
193 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
140 |
133 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
133 |
125 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
55 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
117 |
115 |
$833.61 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
73 |
72 |
$776.00 |
| 99173 |
|
1,153 |
1,057 |
$409.05 |
| 92551 |
|
306 |
284 |
$283.15 |
| 90686 |
|
18 |
18 |
$0.00 |
| 90685 |
|
14 |
13 |
$0.00 |