| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,825 |
3,627 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,666 |
1,591 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
127 |
127 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
780 |
761 |
$3K |
| 90686 |
|
766 |
765 |
$3K |
| 92552 |
|
987 |
985 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
127 |
125 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
105 |
104 |
$1K |
| 90648 |
|
171 |
171 |
$1K |
| 90670 |
|
148 |
148 |
$1K |
| 90723 |
|
110 |
110 |
$909.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
589 |
586 |
$772.55 |
| 90680 |
|
92 |
92 |
$729.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$367.97 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
295 |
295 |
$367.35 |
| 81002 |
|
812 |
809 |
$247.04 |
| 99173 |
|
776 |
776 |
$130.47 |
| 3078F |
|
113 |
113 |
$0.00 |
| 90461 |
|
66 |
66 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 3079F |
|
50 |
50 |
$0.00 |
| 3074F |
|
229 |
228 |
$0.00 |
| 99441 |
|
117 |
110 |
$0.00 |
| 99422 |
|
50 |
45 |
$0.00 |