| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,546 |
6,013 |
$591K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
910 |
908 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
661 |
658 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
618 |
616 |
$58K |
| 90686 |
|
575 |
571 |
$11K |
| 90670 |
|
334 |
332 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
145 |
144 |
$3K |
| 90680 |
|
146 |
145 |
$3K |
| 90671 |
|
154 |
153 |
$3K |
| 90697 |
|
111 |
111 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
87 |
86 |
$2K |
| 90633 |
|
89 |
89 |
$1K |
| 90647 |
|
106 |
106 |
$1K |
| 90672 |
|
63 |
63 |
$1K |
| 90723 |
|
38 |
38 |
$480.24 |
| 90696 |
|
12 |
12 |
$240.20 |
| 90656 |
|
39 |
39 |
$120.89 |
| 90660 |
|
21 |
21 |
$56.19 |