| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
744 |
649 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
456 |
402 |
$15K |
| 92552 |
|
1,212 |
1,208 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
399 |
351 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
873 |
852 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,659 |
3,823 |
$4K |
| 90686 |
|
680 |
676 |
$3K |
| G9920 |
Screening performed and negative |
217 |
216 |
$2K |
| 99173 |
|
663 |
663 |
$929.28 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
66 |
66 |
$913.04 |
| 90658 |
|
302 |
294 |
$564.22 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
807 |
720 |
$293.76 |
| 92551 |
|
38 |
30 |
$293.73 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$98.74 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
19 |
$27.00 |
| 97802 |
|
50 |
50 |
$18.00 |
| 90670 |
|
12 |
12 |
$18.00 |
| 90657 |
|
35 |
28 |
$17.10 |
| 99441 |
|
3,066 |
2,613 |
$0.00 |
| 92081 |
|
18 |
12 |
$0.00 |