| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,498 |
11,782 |
$302K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,477 |
5,457 |
$264K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,279 |
5,257 |
$260K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,733 |
3,715 |
$195K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,405 |
6,338 |
$144K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,745 |
2,727 |
$134K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,640 |
5,556 |
$82K |
| 90461 |
|
2,561 |
2,545 |
$51K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,717 |
2,694 |
$33K |
| 3008F |
|
10,834 |
10,760 |
$24K |
| 90651 |
|
585 |
572 |
$16K |
| 90734 |
|
575 |
564 |
$14K |
| 90697 |
|
159 |
150 |
$12K |
| 99383 |
|
214 |
214 |
$11K |
| 90620 |
|
301 |
292 |
$10K |
| 90686 |
|
1,854 |
1,844 |
$9K |
| 99384 |
|
159 |
159 |
$9K |
| 90670 |
|
830 |
794 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
85 |
82 |
$4K |
| 99381 |
|
74 |
73 |
$4K |
| 90716 |
|
147 |
145 |
$4K |
| 99382 |
|
44 |
44 |
$3K |
| 90656 |
|
434 |
433 |
$2K |
| 90707 |
|
157 |
154 |
$2K |
| 90633 |
|
567 |
559 |
$2K |
| 90715 |
|
318 |
312 |
$2K |
| 90696 |
|
198 |
195 |
$2K |
| 90681 |
|
268 |
260 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,083 |
1,073 |
$862.29 |
| 90710 |
|
339 |
331 |
$741.90 |
| 90474 |
|
104 |
104 |
$666.64 |
| 90700 |
|
150 |
149 |
$580.36 |
| 90648 |
|
245 |
221 |
$480.82 |
| 90698 |
|
211 |
211 |
$473.79 |
| 83655 |
|
66 |
66 |
$466.00 |
| 90723 |
|
84 |
83 |
$429.20 |
| 90688 |
|
12 |
12 |
$155.78 |
| 90744 |
|
30 |
29 |
$77.72 |
| 90713 |
|
14 |
14 |
$40.64 |
| 99070 |
|
199 |
194 |
$0.00 |
| 99072 |
|
196 |
193 |
$0.00 |