| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,733 |
21,537 |
$1.58M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
831 |
831 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
756 |
756 |
$77K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
670 |
669 |
$62K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,872 |
1,872 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
291 |
291 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
250 |
246 |
$21K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,214 |
1,214 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
217 |
210 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
103 |
103 |
$15K |
| 99384 |
|
14 |
14 |
$2K |
| 99383 |
|
14 |
14 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
33 |
$610.79 |
| 90733 |
|
294 |
294 |
$294.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| 90716 |
|
28 |
28 |
$0.00 |
| 96160 |
|
6,731 |
6,721 |
$0.00 |
| 90713 |
|
133 |
133 |
$0.00 |
| 90700 |
|
208 |
208 |
$0.00 |
| 90707 |
|
40 |
40 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |