| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,075 |
8,578 |
$1.06M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,029 |
1,944 |
$87K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
381 |
368 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
257 |
239 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
208 |
207 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
166 |
163 |
$19K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,133 |
1,085 |
$11K |
| W0037 |
|
2,937 |
2,937 |
$9K |
| 90658 |
|
160 |
153 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
52 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$2K |
| 90715 |
|
57 |
57 |
$228.08 |
| 90647 |
|
196 |
186 |
$0.00 |
| 90651 |
|
126 |
122 |
$0.00 |
| 90723 |
|
95 |
92 |
$0.00 |
| 90733 |
|
53 |
50 |
$0.00 |
| 90657 |
|
26 |
26 |
$0.00 |
| 90620 |
|
23 |
23 |
$0.00 |
| 90686 |
|
29 |
29 |
$0.00 |
| 90670 |
|
231 |
224 |
$0.00 |
| 90633 |
|
54 |
54 |
$0.00 |
| 90734 |
|
87 |
87 |
$0.00 |
| 90661 |
|
12 |
12 |
$0.00 |
| 90649 |
|
100 |
97 |
$0.00 |
| 90710 |
|
66 |
66 |
$0.00 |
| 90700 |
|
27 |
27 |
$0.00 |
| 90621 |
|
27 |
27 |
$0.00 |
| 90756 |
|
36 |
32 |
$0.00 |