| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,031 |
946 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
225 |
214 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
114 |
112 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
551 |
522 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
269 |
256 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
84 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
101 |
91 |
$5K |
| 90619 |
|
33 |
32 |
$3K |
| 99188 |
|
74 |
70 |
$1K |
| 90686 |
|
292 |
270 |
$609.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$520.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$402.50 |
| 90715 |
|
12 |
12 |
$104.82 |
| 90633 |
|
24 |
24 |
$25.11 |
| 83655 |
|
26 |
20 |
$9.00 |
| 85018 |
|
40 |
32 |
$2.64 |
| 90670 |
|
14 |
12 |
$0.00 |
| 90651 |
|
15 |
14 |
$0.00 |
| 36416 |
|
17 |
16 |
$0.00 |