| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,034 |
1,807 |
$110K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
290 |
263 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
228 |
220 |
$11K |
| 99173 |
|
60 |
60 |
$1K |
| 90461 |
|
166 |
157 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$787.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
336 |
317 |
$710.98 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
231 |
221 |
$633.75 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$557.93 |
| 90686 |
|
181 |
177 |
$440.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
687 |
657 |
$410.04 |
| 90723 |
|
129 |
115 |
$62.19 |
| 90670 |
|
78 |
76 |
$49.98 |
| 90633 |
|
25 |
24 |
$34.84 |
| 90656 |
|
58 |
58 |
$0.00 |
| 90677 |
|
106 |
92 |
$0.00 |
| 90681 |
|
28 |
27 |
$0.00 |
| 90648 |
|
175 |
159 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |