| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,265 |
1,017 |
$70K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,954 |
2,228 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
182 |
165 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
150 |
119 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
378 |
304 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119 |
104 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
147 |
132 |
$10K |
| 99383 |
|
55 |
51 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
333 |
283 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
40 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
173 |
144 |
$2K |
| 99382 |
|
13 |
13 |
$1K |
| 99381 |
|
12 |
12 |
$916.44 |
| 99173 |
|
51 |
47 |
$47.50 |
| 90670 |
|
49 |
39 |
$0.00 |