| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,611 |
2,398 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
410 |
363 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
221 |
195 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
193 |
176 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
719 |
504 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
929 |
692 |
$4K |
| 90670 |
|
77 |
72 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
18 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
238 |
236 |
$1K |
| 85018 |
|
90 |
87 |
$51.01 |
| 81002 |
|
16 |
15 |
$18.90 |
| 90686 |
|
27 |
25 |
$10.00 |
| 99177 |
|
14 |
14 |
$0.00 |
| 90698 |
|
56 |
51 |
$0.00 |
| 90744 |
|
30 |
24 |
$0.00 |
| 36416 |
|
113 |
98 |
$0.00 |
| 90680 |
|
15 |
12 |
$0.00 |