| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,877 |
1,683 |
$164K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,543 |
1,434 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,206 |
1,999 |
$138K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,276 |
1,165 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
688 |
628 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
427 |
391 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,050 |
1,922 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
512 |
463 |
$24K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,505 |
1,420 |
$10K |
| 99383 |
|
53 |
43 |
$5K |
| 92552 |
|
351 |
328 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
223 |
210 |
$2K |
| 90474 |
|
327 |
298 |
$2K |
| 96127 |
|
597 |
543 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 90670 |
|
875 |
806 |
$709.64 |
| 99173 |
|
497 |
413 |
$218.92 |
| 90698 |
|
388 |
360 |
$155.92 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90715 |
|
39 |
33 |
$0.00 |
| 90681 |
|
18 |
15 |
$0.00 |
| 90633 |
|
42 |
38 |
$0.00 |
| 90680 |
|
519 |
487 |
$0.00 |
| 90744 |
|
186 |
171 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90647 |
|
40 |
35 |
$0.00 |
| 90723 |
|
54 |
49 |
$0.00 |
| 90657 |
|
22 |
21 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |