| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,880 |
2,576 |
$220K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
364 |
363 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
280 |
278 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
212 |
211 |
$25K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
621 |
621 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
128 |
125 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,003 |
993 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
55 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
28 |
$377.10 |
| 87070 |
|
12 |
12 |
$97.80 |
| 90716 |
|
51 |
51 |
$0.00 |
| 90688 |
|
57 |
57 |
$0.00 |
| 90680 |
|
54 |
54 |
$0.00 |
| 90723 |
|
55 |
55 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |
| 90670 |
|
161 |
161 |
$0.00 |
| 90658 |
|
46 |
46 |
$0.00 |
| 90648 |
|
110 |
110 |
$0.00 |
| 90633 |
|
19 |
19 |
$0.00 |
| 90734 |
|
70 |
70 |
$0.00 |
| 90715 |
|
48 |
48 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |