| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,410 |
5,578 |
$1.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,428 |
2,235 |
$356K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,238 |
1,086 |
$258K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
228 |
190 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
287 |
286 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
110 |
107 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
81 |
81 |
$15K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13 |
12 |
$511.03 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
310 |
212 |
$212.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
678 |
655 |
$56.61 |
| G0008 |
Administration of influenza virus vaccine |
26 |
25 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
25 |
25 |
$0.00 |
| 90688 |
|
18 |
18 |
$0.00 |
| 90697 |
|
25 |
25 |
$0.00 |
| 90677 |
|
37 |
37 |
$0.00 |