| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,493 |
4,291 |
$426K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,311 |
2,778 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,925 |
2,523 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
460 |
449 |
$34K |
| 92552 |
|
1,889 |
1,886 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
697 |
687 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
551 |
551 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
383 |
382 |
$21K |
| 99173 |
|
1,880 |
1,878 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
71 |
71 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$710.37 |
| 0071A |
|
17 |
17 |
$680.00 |
| 0072A |
|
13 |
13 |
$520.00 |
| 90686 |
|
1,279 |
1,274 |
$405.11 |
| 90688 |
|
148 |
148 |
$46.84 |
| 90651 |
|
149 |
148 |
$0.00 |
| 90647 |
|
167 |
166 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |
| 90656 |
|
21 |
21 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 91307 |
|
16 |
16 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
370 |
220 |
$0.00 |
| 90734 |
|
126 |
125 |
$0.00 |
| 90670 |
|
177 |
177 |
$0.00 |
| 90715 |
|
45 |
45 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90710 |
|
38 |
38 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90461 |
|
31 |
13 |
$0.00 |