| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,384 |
1,077 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
131 |
122 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
29 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
214 |
211 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
68 |
67 |
$717.55 |
| 96127 |
|
48 |
48 |
$178.71 |
| 93000 |
|
16 |
16 |
$178.01 |
| 87081 |
|
24 |
24 |
$94.44 |
| 82274 |
|
13 |
13 |
$43.17 |
| 90686 |
|
164 |
164 |
$23.53 |
| 99000 |
|
24 |
24 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
31 |
31 |
$0.00 |
| 90677 |
|
27 |
27 |
$0.00 |