| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,834 |
3,206 |
$116K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
805 |
692 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
372 |
301 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
228 |
195 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
695 |
633 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
302 |
279 |
$4K |
| 90651 |
|
36 |
35 |
$1K |
| 90686 |
|
243 |
192 |
$988.55 |
| 90734 |
|
38 |
37 |
$720.45 |
| 90715 |
|
16 |
15 |
$241.44 |
| 90670 |
|
101 |
94 |
$0.09 |
| 90647 |
|
12 |
12 |
$0.01 |
| 90723 |
|
30 |
29 |
$0.00 |
| 90680 |
|
15 |
14 |
$0.00 |
| 90648 |
|
18 |
17 |
$0.00 |
| 90633 |
|
19 |
18 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |