| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,543 |
3,291 |
$243K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,418 |
3,117 |
$144K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,301 |
1,270 |
$121K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,445 |
1,297 |
$121K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
807 |
792 |
$76K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
204 |
200 |
$21K |
| 90686 |
|
414 |
409 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,245 |
3,122 |
$5K |
| 90670 |
|
258 |
252 |
$3K |
| 0071A |
|
51 |
51 |
$2K |
| 0072A |
|
50 |
50 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,789 |
1,736 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
97 |
94 |
$2K |
| 90633 |
|
114 |
111 |
$1K |
| 0012A |
|
44 |
42 |
$1K |
| 90671 |
|
80 |
80 |
$1K |
| 90710 |
|
94 |
90 |
$1K |
| 99381 |
|
19 |
13 |
$998.40 |
| 0011A |
|
51 |
47 |
$728.42 |
| 90480 |
|
17 |
17 |
$680.00 |
| 90715 |
|
38 |
38 |
$565.08 |
| 0154A |
|
13 |
13 |
$520.00 |
| 0001A |
|
15 |
12 |
$520.00 |
| 99401 |
|
53 |
50 |
$514.76 |
| 90648 |
|
50 |
49 |
$390.78 |
| 90651 |
|
25 |
25 |
$360.30 |
| 90656 |
|
51 |
51 |
$353.95 |
| 90672 |
|
28 |
28 |
$279.44 |
| 90734 |
|
13 |
13 |
$124.02 |
| 90658 |
|
17 |
17 |
$104.70 |
| 90700 |
|
12 |
12 |
$71.52 |
| 90619 |
|
12 |
12 |
$31.44 |