| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,323 |
4,995 |
$253K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,152 |
1,123 |
$61K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,507 |
1,477 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
327 |
327 |
$29K |
| 93000 |
|
1,298 |
1,286 |
$26K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
436 |
434 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
207 |
207 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
818 |
796 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
291 |
287 |
$6K |
| 94060 |
|
75 |
75 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
84 |
83 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
27 |
$945.13 |
| 90461 |
|
133 |
132 |
$581.40 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$564.10 |
| 82962 |
|
81 |
78 |
$130.84 |
| 90658 |
|
26 |
26 |
$105.41 |
| 90677 |
|
14 |
14 |
$0.01 |
| 90686 |
|
234 |
234 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 90670 |
|
51 |
51 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |