| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,896 |
1,694 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,045 |
998 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,006 |
957 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,021 |
914 |
$61K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
731 |
709 |
$56K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,542 |
1,445 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,355 |
2,226 |
$28K |
| 90658 |
|
582 |
568 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
46 |
41 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
25 |
$3K |
| 99462 |
|
39 |
39 |
$2K |
| 99460 |
|
27 |
27 |
$1K |
| 90733 |
|
166 |
155 |
$287.70 |
| 90716 |
|
284 |
272 |
$220.00 |
| 90707 |
|
280 |
269 |
$194.52 |
| 90700 |
|
950 |
890 |
$65.00 |
| 90713 |
|
804 |
746 |
$65.00 |
| 90715 |
|
58 |
51 |
$13.70 |
| 90680 |
|
551 |
508 |
$13.70 |
| 90633 |
|
286 |
275 |
$0.00 |
| 90670 |
|
732 |
679 |
$0.00 |
| 90649 |
|
428 |
412 |
$0.00 |
| 90648 |
|
26 |
26 |
$0.00 |
| 90748 |
|
559 |
513 |
$0.00 |
| 90657 |
|
119 |
114 |
$0.00 |