| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,236 |
21,758 |
$1.71M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,582 |
3,574 |
$288K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,534 |
3,520 |
$279K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,699 |
2,693 |
$236K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,679 |
2,629 |
$193K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,015 |
1,966 |
$184K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,142 |
4,117 |
$96K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,150 |
7,101 |
$73K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
514 |
509 |
$42K |
| 99383 |
|
79 |
79 |
$8K |
| 90671 |
|
101 |
101 |
$5K |
| 99381 |
|
37 |
37 |
$3K |
| 90474 |
|
622 |
619 |
$3K |
| 99382 |
|
13 |
13 |
$1K |
| 97802 |
|
6,856 |
6,832 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 90723 |
|
732 |
728 |
$0.00 |
| 90688 |
|
939 |
933 |
$0.00 |
| 90716 |
|
824 |
823 |
$0.00 |
| 90651 |
|
94 |
94 |
$0.00 |
| 90686 |
|
374 |
373 |
$0.00 |
| 90680 |
|
88 |
88 |
$0.00 |
| 90656 |
|
222 |
221 |
$0.00 |
| 90670 |
|
1,737 |
1,726 |
$0.00 |
| 90655 |
|
62 |
62 |
$0.00 |
| 90713 |
|
787 |
784 |
$0.00 |
| 90633 |
|
869 |
864 |
$0.00 |
| 90648 |
|
1,815 |
1,804 |
$0.00 |
| 90734 |
|
690 |
687 |
$0.00 |
| 90700 |
|
1,419 |
1,413 |
$0.00 |
| 90681 |
|
283 |
283 |
$0.00 |
| 90707 |
|
765 |
765 |
$0.00 |
| 90715 |
|
224 |
224 |
$0.00 |
| 90649 |
|
101 |
101 |
$0.00 |
| 90687 |
|
33 |
33 |
$0.00 |