| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,194 |
1,127 |
$167K |
| 99403 |
|
269 |
255 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
266 |
241 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
121 |
102 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,375 |
2,193 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
66 |
65 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,117 |
1,030 |
$7K |
| 90715 |
|
375 |
343 |
$533.50 |
| 90686 |
|
85 |
79 |
$345.50 |
| 90633 |
|
79 |
66 |
$60.50 |
| 90696 |
|
52 |
50 |
$49.50 |
| 90734 |
|
51 |
40 |
$33.00 |
| 90651 |
|
79 |
72 |
$27.50 |
| 90710 |
|
92 |
83 |
$22.00 |
| 90619 |
|
14 |
14 |
$0.00 |
| 90716 |
|
29 |
27 |
$0.00 |