| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,363 |
4,200 |
$286K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,928 |
1,846 |
$194K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,730 |
1,720 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
215 |
215 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
194 |
194 |
$18K |
| 92551 |
|
1,711 |
1,710 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
668 |
668 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
155 |
154 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$2K |
| 99173 |
|
907 |
906 |
$2K |
| 0071A |
|
50 |
49 |
$2K |
| 0072A |
|
24 |
24 |
$969.26 |
| 0002A |
|
16 |
16 |
$640.00 |
| 87070 |
|
63 |
62 |
$617.70 |