| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,171 |
21,414 |
$1.26M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,667 |
1,646 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,719 |
1,674 |
$120K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,143 |
1,122 |
$91K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,958 |
6,600 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,054 |
995 |
$66K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,687 |
3,494 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
396 |
342 |
$25K |
| 90651 |
|
365 |
334 |
$13K |
| 90619 |
|
134 |
130 |
$10K |
| 86580 |
|
1,819 |
1,811 |
$7K |
| 90686 |
|
1,126 |
1,098 |
$5K |
| 90716 |
|
159 |
151 |
$3K |
| 90621 |
|
89 |
80 |
$3K |
| 90677 |
|
14 |
14 |
$2K |
| 90707 |
|
118 |
112 |
$1K |
| 90670 |
|
115 |
111 |
$1K |
| 90700 |
|
490 |
454 |
$938.01 |
| 90713 |
|
377 |
350 |
$851.20 |
| 99383 |
|
12 |
12 |
$827.17 |
| 90734 |
|
49 |
44 |
$606.12 |
| 90633 |
|
146 |
134 |
$448.04 |
| 90715 |
|
80 |
72 |
$374.64 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
19 |
$223.59 |
| 90648 |
|
99 |
92 |
$81.57 |
| 90744 |
|
24 |
24 |
$17.95 |
| 90680 |
|
19 |
18 |
$0.00 |