| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,014 |
1,886 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
334 |
309 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
852 |
837 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
127 |
127 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
122 |
119 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
186 |
184 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
53 |
53 |
$2K |
| 90686 |
|
207 |
205 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$470.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$347.28 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90685 |
|
17 |
17 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90461 |
|
28 |
28 |
$0.00 |