| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,079 |
2,693 |
$185K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
774 |
761 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
583 |
557 |
$49K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,798 |
1,735 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
433 |
414 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
396 |
393 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,825 |
2,704 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
794 |
644 |
$25K |
| 90670 |
|
458 |
450 |
$350.92 |
| 90688 |
|
307 |
295 |
$248.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
25 |
$184.21 |
| 90698 |
|
105 |
101 |
$97.24 |
| 90680 |
|
48 |
48 |
$88.11 |
| 90649 |
|
43 |
43 |
$0.25 |
| 90687 |
|
12 |
12 |
$0.09 |
| 90734 |
|
51 |
51 |
$0.08 |
| 90744 |
|
12 |
12 |
$0.07 |
| 90633 |
|
83 |
83 |
$0.07 |
| 90621 |
|
15 |
15 |
$0.00 |