| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,816 |
1,540 |
$80K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
337 |
300 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
74 |
62 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
75 |
67 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
232 |
201 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
260 |
232 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54 |
45 |
$3K |
| 92551 |
|
173 |
161 |
$1K |
| 85018 |
|
260 |
239 |
$540.08 |
| 81002 |
|
181 |
158 |
$403.48 |
| 99173 |
|
219 |
201 |
$348.12 |
| 90473 |
|
32 |
27 |
$271.18 |
| 90680 |
|
32 |
27 |
$0.00 |
| 90674 |
|
23 |
22 |
$0.00 |
| 90686 |
|
15 |
15 |
$0.00 |
| 90670 |
|
47 |
40 |
$0.00 |
| 90710 |
|
20 |
15 |
$0.00 |
| 90633 |
|
33 |
27 |
$0.00 |
| 90700 |
|
17 |
14 |
$0.00 |