| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,213 |
1,140 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
488 |
471 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
326 |
324 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,298 |
1,279 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
135 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
148 |
147 |
$13K |
| 90461 |
|
475 |
471 |
$10K |
| 92551 |
|
417 |
413 |
$6K |
| 99173 |
|
970 |
965 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
169 |
164 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
56 |
54 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$983.88 |
| 0072A |
|
15 |
15 |
$706.50 |
| 0071A |
|
15 |
15 |
$706.23 |
| 90686 |
|
408 |
405 |
$99.30 |
| 96127 |
|
12 |
12 |
$56.22 |
| 91307 |
|
32 |
30 |
$0.00 |
| 99499 |
|
28 |
27 |
$0.00 |