| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,808 |
10,578 |
$502K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,973 |
5,070 |
$317K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,913 |
1,718 |
$119K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,852 |
1,558 |
$118K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,871 |
1,565 |
$109K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,315 |
5,835 |
$100K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,796 |
1,504 |
$93K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,667 |
2,762 |
$32K |
| 99051 |
|
1,788 |
1,486 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
647 |
512 |
$16K |
| 94644 |
|
496 |
370 |
$10K |
| 90474 |
|
577 |
402 |
$4K |
| 99173 |
|
2,823 |
2,467 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
26 |
$2K |
| 0071A |
|
45 |
40 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
12 |
$1K |
| 0072A |
|
26 |
25 |
$938.06 |
| 90688 |
|
18 |
12 |
$199.67 |
| 90670 |
|
1,459 |
1,221 |
$1.24 |
| 90633 |
|
466 |
391 |
$0.22 |
| 90685 |
|
181 |
170 |
$0.03 |
| 90734 |
|
1,326 |
986 |
$0.02 |
| 90686 |
|
1,023 |
932 |
$0.02 |
| 90700 |
|
282 |
218 |
$0.00 |
| 90648 |
|
650 |
529 |
$0.00 |
| 90649 |
|
295 |
284 |
$0.00 |
| 90707 |
|
146 |
92 |
$0.00 |
| 90713 |
|
26 |
25 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90680 |
|
603 |
456 |
$0.00 |
| 90723 |
|
121 |
101 |
$0.00 |
| 90716 |
|
134 |
80 |
$0.00 |
| 90698 |
|
45 |
41 |
$0.00 |
| 91307 |
|
72 |
50 |
$0.00 |