| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,673 |
2,584 |
$237K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
697 |
675 |
$98K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,092 |
1,044 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
318 |
299 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
324 |
298 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
179 |
168 |
$23K |
| 90461 |
|
259 |
238 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
73 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
163 |
158 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
19 |
$632.82 |
| 90480 |
|
12 |
12 |
$420.64 |
| 90686 |
|
342 |
165 |
$170.50 |
| 96127 |
|
13 |
13 |
$95.42 |
| 90670 |
|
26 |
13 |
$13.00 |
| 90723 |
|
24 |
12 |
$12.00 |