| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74,028 |
55,754 |
$4.43M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,247 |
6,218 |
$480K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,275 |
5,215 |
$405K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,606 |
4,584 |
$388K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,726 |
3,532 |
$255K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,532 |
1,511 |
$174K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,367 |
1,364 |
$117K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,443 |
8,989 |
$102K |
| 90461 |
|
515 |
509 |
$67.66 |
| 90688 |
|
587 |
584 |
$53.53 |
| 90734 |
|
1,410 |
1,410 |
$17.85 |
| 90715 |
|
737 |
735 |
$17.85 |
| 90744 |
|
1,378 |
1,369 |
$0.00 |
| 90716 |
|
1,517 |
1,514 |
$0.00 |
| 90698 |
|
1,432 |
1,427 |
$0.00 |
| 90619 |
|
156 |
156 |
$0.00 |
| 90677 |
|
29 |
29 |
$0.00 |
| 90651 |
|
26 |
26 |
$0.00 |
| 90723 |
|
21 |
21 |
$0.00 |
| 90670 |
|
2,315 |
2,310 |
$0.00 |
| 90700 |
|
2,256 |
2,253 |
$0.00 |
| 90707 |
|
1,549 |
1,547 |
$0.00 |
| 90713 |
|
1,312 |
1,310 |
$0.00 |
| 90649 |
|
1,441 |
1,439 |
$0.00 |
| 90648 |
|
1,175 |
1,170 |
$0.00 |
| 90710 |
|
63 |
63 |
$0.00 |