| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,659 |
6,389 |
$294K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,206 |
5,600 |
$270K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
666 |
631 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
270 |
269 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
249 |
248 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
581 |
565 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
169 |
161 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
48 |
46 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
102 |
97 |
$2K |
| 90686 |
|
316 |
289 |
$1K |
| 99383 |
|
29 |
27 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$913.80 |
| 99384 |
|
23 |
23 |
$839.96 |
| 90461 |
|
34 |
32 |
$577.16 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$568.60 |
| 90656 |
|
86 |
86 |
$348.00 |
| 90633 |
|
30 |
30 |
$78.29 |
| 90651 |
|
25 |
25 |
$0.00 |
| 99490 |
Ccm add 20min |
12 |
12 |
$0.00 |