| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,798 |
14,274 |
$695K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,695 |
1,672 |
$91K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,357 |
1,347 |
$75K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,148 |
3,115 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,131 |
1,119 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,411 |
1,253 |
$42K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,767 |
1,746 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
320 |
309 |
$17K |
| 90461 |
|
679 |
675 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
591 |
582 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
73 |
72 |
$4K |
| 90686 |
|
565 |
561 |
$2K |
| 90716 |
|
119 |
107 |
$2K |
| 3008F |
|
3,088 |
3,049 |
$1K |
| 0071A |
|
18 |
15 |
$680.00 |
| 90723 |
|
38 |
37 |
$600.73 |
| 0072A |
|
14 |
14 |
$560.00 |
| 90633 |
|
227 |
225 |
$427.27 |
| 90670 |
|
67 |
65 |
$226.43 |
| 90734 |
|
41 |
39 |
$144.18 |
| 90707 |
|
29 |
29 |
$89.93 |
| 90648 |
|
70 |
67 |
$17.63 |
| 91307 |
|
39 |
33 |
$5.00 |
| 99072 |
|
84 |
83 |
$0.00 |
| 99070 |
|
150 |
141 |
$0.00 |