| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,446 |
1,435 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,853 |
2,702 |
$99K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,054 |
1,044 |
$84K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,050 |
1,033 |
$74K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,300 |
2,741 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
431 |
423 |
$37K |
| 90461 |
|
1,099 |
925 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
105 |
$2K |
| 99381 |
|
12 |
12 |
$929.61 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
302 |
299 |
$352.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$148.96 |
| 90686 |
|
671 |
668 |
$0.08 |
| 90651 |
|
114 |
114 |
$0.01 |
| 90670 |
|
798 |
792 |
$0.00 |
| 90648 |
|
481 |
477 |
$0.00 |
| 90685 |
|
104 |
102 |
$0.00 |
| 90633 |
|
246 |
245 |
$0.00 |
| 90710 |
|
172 |
170 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90723 |
|
138 |
138 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |