| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,209 |
5,970 |
$456K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,229 |
1,374 |
$173K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
236 |
219 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
34 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
25 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
393 |
307 |
$148.03 |
| 0001A |
|
49 |
43 |
$120.67 |
| 0002A |
|
41 |
41 |
$93.01 |
| 91300 |
|
190 |
164 |
$0.24 |
| 90651 |
|
43 |
38 |
$0.00 |
| 90686 |
|
115 |
108 |
$0.00 |
| 92551 |
|
40 |
40 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
51 |
48 |
$0.00 |