| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,416 |
4,825 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
879 |
874 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
262 |
258 |
$4K |
| 90686 |
|
1,283 |
1,281 |
$4K |
| 92552 |
|
278 |
277 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
179 |
178 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
344 |
342 |
$2K |
| 90651 |
|
37 |
37 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,345 |
1,334 |
$1K |
| 99173 |
|
275 |
275 |
$906.84 |
| 90619 |
|
17 |
17 |
$500.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
60 |
60 |
$32.20 |
| 90688 |
|
41 |
41 |
$0.00 |