| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,566 |
5,153 |
$289K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,998 |
2,817 |
$203K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,799 |
2,673 |
$191K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,904 |
2,462 |
$160K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,576 |
1,489 |
$115K |
| 90651 |
|
1,406 |
1,326 |
$50K |
| 90670 |
|
1,929 |
1,747 |
$43K |
| 90710 |
|
1,293 |
1,207 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
890 |
793 |
$28K |
| 90698 |
|
1,554 |
1,416 |
$23K |
| 90734 |
|
739 |
691 |
$21K |
| 90633 |
|
1,663 |
1,524 |
$18K |
| 90680 |
|
1,094 |
974 |
$15K |
| 90671 |
|
138 |
136 |
$15K |
| 90686 |
|
1,081 |
1,032 |
$10K |
| 90723 |
|
581 |
514 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
113 |
97 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,774 |
1,625 |
$6K |
| 90697 |
|
165 |
155 |
$6K |
| 90647 |
|
639 |
557 |
$5K |
| 90461 |
|
3,848 |
3,531 |
$5K |
| 90715 |
|
357 |
336 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,278 |
5,811 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,121 |
1,014 |
$3K |
| 90656 |
|
148 |
147 |
$2K |
| 90744 |
|
233 |
199 |
$2K |
| 90700 |
|
201 |
189 |
$2K |
| 99381 |
|
36 |
27 |
$2K |
| 90696 |
|
124 |
119 |
$1K |
| 90621 |
|
56 |
54 |
$1K |
| 90716 |
|
97 |
88 |
$1K |
| 90620 |
|
31 |
29 |
$1K |
| 90707 |
|
84 |
77 |
$837.70 |
| 86580 |
|
116 |
112 |
$683.69 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
74 |
73 |
$597.89 |
| 90713 |
|
43 |
37 |
$449.03 |
| 85018 |
|
232 |
205 |
$438.51 |
| 99000 |
|
249 |
221 |
$415.84 |
| 90648 |
|
37 |
26 |
$328.18 |
| 90672 |
|
29 |
29 |
$302.78 |
| 90660 |
|
27 |
27 |
$234.92 |
| 90474 |
|
251 |
229 |
$205.96 |
| 90473 |
|
12 |
12 |
$0.00 |