| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,549 |
4,889 |
$876K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
876 |
824 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
987 |
914 |
$131K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
81 |
81 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
33 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
39 |
$6K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
138 |
133 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
477 |
457 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
116 |
110 |
$1K |
| 90686 |
|
61 |
60 |
$0.00 |
| 90651 |
|
18 |
14 |
$0.00 |
| 90733 |
|
13 |
13 |
$0.00 |
| 90734 |
|
17 |
13 |
$0.00 |