| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,008 |
4,443 |
$347K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,177 |
1,157 |
$104K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,005 |
974 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
225 |
223 |
$20K |
| 90686 |
|
742 |
737 |
$11K |
| 90670 |
|
510 |
498 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
123 |
116 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
123 |
123 |
$2K |
| 90680 |
|
162 |
159 |
$2K |
| 90647 |
|
197 |
191 |
$2K |
| 90723 |
|
177 |
172 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
62 |
62 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 90672 |
|
55 |
55 |
$1K |
| 90671 |
|
64 |
63 |
$1K |
| 90688 |
|
68 |
68 |
$891.89 |
| 90685 |
|
35 |
35 |
$595.37 |
| 90633 |
|
45 |
45 |
$560.20 |
| 90697 |
|
13 |
13 |
$266.77 |
| 90674 |
|
13 |
12 |
$136.64 |
| 90660 |
|
31 |
31 |
$82.11 |
| 90656 |
|
12 |
12 |
$32.48 |