| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
935 |
866 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,727 |
2,345 |
$67K |
| 99381 |
|
616 |
573 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
561 |
531 |
$33K |
| 99460 |
|
455 |
454 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
347 |
335 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
193 |
170 |
$10K |
| 99462 |
|
445 |
326 |
$8K |
| 90670 |
|
782 |
778 |
$6K |
| 90648 |
|
797 |
792 |
$6K |
| 90723 |
|
652 |
649 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
624 |
326 |
$5K |
| 92552 |
|
368 |
368 |
$5K |
| 90681 |
|
438 |
436 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
30 |
$1K |
| 90633 |
|
216 |
216 |
$1K |
| 99173 |
|
220 |
220 |
$729.92 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23 |
23 |
$524.00 |
| 90657 |
|
69 |
69 |
$342.00 |
| 92551 |
|
33 |
33 |
$333.30 |
| 90700 |
|
65 |
65 |
$216.00 |
| 90658 |
|
71 |
71 |
$189.00 |
| 90716 |
|
30 |
30 |
$126.00 |
| 90707 |
|
28 |
28 |
$108.00 |
| 90710 |
|
12 |
12 |
$108.00 |
| 90649 |
|
16 |
15 |
$18.00 |
| 96160 |
|
121 |
118 |
$0.00 |
| 92081 |
|
31 |
31 |
$0.00 |
| 87070 |
|
70 |
70 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |