| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,689 |
3,446 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,465 |
1,387 |
$74K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
803 |
803 |
$55K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
717 |
716 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
167 |
167 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
122 |
122 |
$5K |
| 92583 |
|
547 |
547 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
281 |
280 |
$4K |
| 0011A |
|
89 |
88 |
$2K |
| 0012A |
|
64 |
64 |
$1K |
| 90688 |
|
48 |
48 |
$863.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
97 |
97 |
$812.31 |
| 81002 |
|
518 |
518 |
$537.02 |
| 93000 |
|
30 |
30 |
$496.11 |
| 99173 |
|
2,586 |
2,583 |
$453.48 |
| 82962 |
|
139 |
126 |
$120.15 |
| 1220F |
|
446 |
446 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
1,746 |
1,746 |
$0.00 |
| 1036F |
|
293 |
293 |
$0.00 |
| 91301 |
|
125 |
124 |
$0.00 |