| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,123 |
8,416 |
$340K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,106 |
2,036 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
191 |
186 |
$16K |
| 90686 |
|
824 |
793 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
344 |
337 |
$6K |
| 90734 |
|
91 |
87 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
64 |
64 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
45 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$955.20 |
| 90651 |
|
12 |
12 |
$561.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$282.24 |
| 90715 |
|
12 |
12 |
$152.89 |
| 90656 |
|
12 |
12 |
$104.27 |