| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
898 |
797 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
744 |
684 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
217 |
183 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
176 |
152 |
$13K |
| 90686 |
|
544 |
501 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
57 |
$3K |
| 90677 |
|
12 |
12 |
$2K |
| 90656 |
|
81 |
80 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
14 |
$1K |
| 90670 |
|
41 |
40 |
$697.11 |
| 90697 |
|
25 |
24 |
$424.25 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$307.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
275 |
243 |
$0.00 |
| 90461 |
|
32 |
30 |
$0.00 |