| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,517 |
2,295 |
$147K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
635 |
572 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
459 |
429 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
46 |
$4K |
| 90686 |
|
409 |
398 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,690 |
1,585 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
59 |
57 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,060 |
975 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$1K |
| 99173 |
|
274 |
260 |
$693.13 |
| 90648 |
|
287 |
254 |
$646.78 |
| 90723 |
|
286 |
254 |
$628.02 |
| 90680 |
|
225 |
194 |
$477.34 |
| 90647 |
|
40 |
39 |
$300.54 |
| 90670 |
|
469 |
426 |
$234.82 |
| 94760 |
|
69 |
63 |
$208.27 |
| 90633 |
|
32 |
31 |
$166.34 |
| 90685 |
|
32 |
32 |
$137.16 |
| 96127 |
|
14 |
14 |
$79.25 |
| 90651 |
|
13 |
12 |
$50.04 |
| 90710 |
|
42 |
40 |
$21.00 |