| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,460 |
4,430 |
$254K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
830 |
736 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
710 |
646 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
805 |
634 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,248 |
2,036 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
382 |
324 |
$23K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
963 |
842 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
122 |
91 |
$8K |
| 90658 |
|
705 |
671 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
173 |
147 |
$5K |
| 90657 |
|
282 |
262 |
$3K |
| 90648 |
|
531 |
434 |
$1K |
| 90670 |
|
547 |
445 |
$1K |
| 90723 |
|
317 |
253 |
$650.72 |
| 90649 |
|
14 |
13 |
$0.00 |
| 90633 |
|
106 |
94 |
$0.00 |
| 90681 |
|
96 |
75 |
$0.00 |
| 90710 |
|
40 |
38 |
$0.00 |
| 90700 |
|
20 |
14 |
$0.00 |