| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,246 |
27,350 |
$1.63M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
827 |
726 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
910 |
819 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
673 |
615 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
667 |
619 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
370 |
351 |
$31K |
| 99423 |
|
534 |
476 |
$23K |
| 90686 |
|
1,035 |
886 |
$14K |
| 90670 |
|
517 |
448 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
75 |
53 |
$6K |
| 90734 |
|
316 |
265 |
$6K |
| 90648 |
|
485 |
445 |
$4K |
| 90656 |
|
221 |
136 |
$3K |
| 90715 |
|
237 |
193 |
$3K |
| 90619 |
|
118 |
113 |
$2K |
| 90700 |
|
177 |
154 |
$2K |
| 90707 |
|
166 |
157 |
$2K |
| 90723 |
|
228 |
198 |
$2K |
| 90716 |
|
163 |
153 |
$2K |
| 90713 |
|
70 |
62 |
$592.45 |
| 90685 |
|
76 |
40 |
$529.41 |
| 99443 |
|
40 |
34 |
$494.60 |
| 90651 |
|
13 |
13 |
$217.03 |
| 90633 |
|
27 |
24 |
$172.80 |
| 81002 |
|
12 |
12 |
$31.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
16 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
35 |
$0.00 |