| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,264 |
12,534 |
$1.16M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,746 |
3,390 |
$218K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,456 |
1,363 |
$145K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,908 |
6,181 |
$140K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,276 |
1,173 |
$125K |
| 90461 |
|
4,697 |
4,238 |
$124K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
966 |
952 |
$112K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,147 |
1,093 |
$111K |
| 86580 |
|
3,535 |
3,276 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
214 |
206 |
$22K |
| 90474 |
|
1,157 |
1,102 |
$15K |
| 99383 |
|
89 |
75 |
$11K |
| 99382 |
|
35 |
30 |
$4K |
| 99384 |
|
13 |
13 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
136 |
$271.21 |
| 90633 |
|
58 |
57 |
$0.00 |
| 90658 |
|
155 |
143 |
$0.00 |
| 90707 |
|
29 |
29 |
$0.00 |
| 90700 |
|
77 |
71 |
$0.00 |
| 90713 |
|
34 |
34 |
$0.00 |
| 90670 |
|
78 |
68 |
$0.00 |
| 90657 |
|
76 |
73 |
$0.00 |
| 90646 |
|
16 |
16 |
$0.00 |
| 90716 |
|
32 |
31 |
$0.00 |
| 90680 |
|
16 |
16 |
$0.00 |