| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,788 |
11,421 |
$828K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,383 |
2,275 |
$235K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,624 |
5,130 |
$231K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,255 |
2,200 |
$216K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,839 |
1,768 |
$198K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,741 |
1,622 |
$172K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,893 |
5,501 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,614 |
3,399 |
$10K |
| 90686 |
|
1,047 |
949 |
$1K |
| 90710 |
|
27 |
27 |
$855.54 |
| 90473 |
|
123 |
123 |
$210.00 |
| 90651 |
|
457 |
442 |
$164.51 |
| 90620 |
|
296 |
291 |
$100.00 |
| 90680 |
|
579 |
531 |
$70.00 |
| 90656 |
|
52 |
52 |
$64.14 |
| 90633 |
|
302 |
298 |
$50.00 |
| 90670 |
|
828 |
767 |
$40.00 |
| 90734 |
|
153 |
146 |
$30.00 |
| 90698 |
|
705 |
647 |
$20.00 |
| 90696 |
|
28 |
28 |
$20.00 |
| 90744 |
|
265 |
247 |
$0.00 |
| 90619 |
|
208 |
205 |
$0.00 |
| 90716 |
|
13 |
12 |
$0.00 |
| 85018 |
|
15 |
15 |
$0.00 |
| 90671 |
|
213 |
208 |
$0.00 |
| 90672 |
|
158 |
158 |
$0.00 |
| 90715 |
|
52 |
52 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |
| 90707 |
|
15 |
12 |
$0.00 |