| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,064 |
6,849 |
$167K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,382 |
3,346 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
894 |
886 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,040 |
1,024 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
722 |
718 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
597 |
581 |
$23K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,535 |
1,530 |
$15K |
| 90658 |
|
522 |
521 |
$4K |
| 90649 |
|
28 |
28 |
$2K |
| 86580 |
|
481 |
477 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$1K |
| 81000 |
|
256 |
252 |
$270.25 |
| 81003 |
|
46 |
45 |
$38.00 |
| 90656 |
|
163 |
163 |
$19.77 |