| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,091 |
15,019 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
952 |
921 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
849 |
797 |
$17K |
| 92551 |
|
2,703 |
2,681 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
582 |
557 |
$15K |
| 99460 |
|
290 |
289 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,698 |
2,219 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
228 |
219 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
212 |
210 |
$7K |
| 99462 |
|
180 |
154 |
$4K |
| 90670 |
|
443 |
433 |
$3K |
| 99173 |
|
2,603 |
2,603 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
350 |
298 |
$2K |
| 90680 |
|
182 |
170 |
$2K |
| 90686 |
|
653 |
647 |
$2K |
| 90698 |
|
260 |
255 |
$2K |
| 90649 |
|
512 |
500 |
$1K |
| 85018 |
|
844 |
832 |
$1K |
| 90744 |
|
91 |
90 |
$587.00 |
| 90633 |
|
141 |
139 |
$549.00 |
| 90734 |
|
124 |
122 |
$261.00 |
| 86580 |
|
98 |
97 |
$227.44 |
| 90716 |
|
38 |
37 |
$174.00 |
| 90707 |
|
25 |
24 |
$153.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
88 |
88 |
$138.00 |
| 90700 |
|
28 |
26 |
$120.00 |
| 90660 |
|
69 |
69 |
$117.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
409 |
409 |
$113.80 |
| 90648 |
|
13 |
13 |
$63.00 |
| 90715 |
|
30 |
30 |
$36.00 |
| 90619 |
|
16 |
16 |
$36.00 |
| 96127 |
|
2,187 |
2,187 |
$8.98 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
119 |
118 |
$8.08 |
| 3008F |
|
1,273 |
1,271 |
$3.60 |
| 3078F |
|
31 |
31 |
$0.30 |
| 3074F |
|
30 |
30 |
$0.30 |
| 90461 |
|
68 |
57 |
$0.00 |
| 99366 |
|
78 |
78 |
$0.00 |
| 97802 |
|
13 |
13 |
$0.00 |