| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,505 |
1,343 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
230 |
225 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
249 |
240 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
968 |
903 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
758 |
471 |
$7K |
| 99383 |
|
129 |
124 |
$6K |
| 99382 |
|
101 |
101 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
75 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
93 |
85 |
$4K |
| 99384 |
|
60 |
59 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
240 |
227 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
19 |
$1K |
| 99381 |
|
20 |
20 |
$688.75 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$368.00 |
| 99173 |
|
496 |
462 |
$322.82 |
| 90686 |
|
313 |
278 |
$297.66 |
| 90633 |
|
59 |
56 |
$40.28 |
| 90723 |
|
26 |
26 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 90670 |
|
42 |
42 |
$0.00 |
| 90648 |
|
21 |
21 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |