| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,788 |
8,319 |
$1.01M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,547 |
1,545 |
$151K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,098 |
1,098 |
$118K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
435 |
415 |
$68K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,724 |
1,724 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,413 |
2,410 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
210 |
210 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
196 |
196 |
$25K |
| 90474 |
|
735 |
735 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
59 |
59 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
27 |
$2K |
| 90686 |
|
100 |
100 |
$20.15 |
| 90710 |
|
262 |
262 |
$0.00 |
| 90670 |
|
917 |
917 |
$0.00 |
| 90633 |
|
391 |
391 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90681 |
|
22 |
22 |
$0.00 |
| 90698 |
|
815 |
815 |
$0.00 |
| 90680 |
|
704 |
704 |
$0.00 |
| 90744 |
|
289 |
289 |
$0.00 |
| 90677 |
|
296 |
296 |
$0.00 |
| 90697 |
|
216 |
216 |
$0.00 |
| 90688 |
|
27 |
27 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |