| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,644 |
6,200 |
$172K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,385 |
1,374 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,276 |
1,170 |
$24K |
| 92551 |
|
2,889 |
2,856 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
840 |
830 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,666 |
3,642 |
$15K |
| 99173 |
|
3,282 |
3,277 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
395 |
392 |
$10K |
| 99215 |
Prolong outpt/office vis |
114 |
114 |
$6K |
| 90658 |
|
922 |
918 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
132 |
130 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,227 |
1,223 |
$5K |
| 90670 |
|
234 |
233 |
$2K |
| 92552 |
|
129 |
129 |
$1K |
| 90655 |
|
183 |
179 |
$962.31 |
| 90648 |
|
75 |
75 |
$675.00 |
| 90649 |
|
75 |
75 |
$670.29 |
| 90680 |
|
94 |
94 |
$612.00 |
| 90686 |
|
208 |
207 |
$594.00 |
| 99381 |
|
12 |
12 |
$538.56 |
| 90723 |
|
43 |
43 |
$387.00 |
| 90698 |
|
53 |
53 |
$291.15 |
| 90474 |
|
44 |
44 |
$220.66 |
| 90734 |
|
17 |
17 |
$151.42 |
| 90672 |
|
45 |
45 |
$148.63 |
| 90744 |
|
12 |
12 |
$108.00 |
| 90651 |
|
13 |
13 |
$72.00 |
| 90619 |
|
12 |
12 |
$54.00 |
| 90633 |
|
12 |
12 |
$50.85 |
| 86580 |
|
12 |
12 |
$13.40 |
| 90473 |
|
12 |
12 |
$0.00 |