| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,475 |
7,079 |
$519K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
887 |
816 |
$77K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
861 |
781 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
692 |
613 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
363 |
320 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,449 |
2,100 |
$29K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,561 |
1,364 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
26 |
$2K |
| 0072A |
|
62 |
25 |
$2K |
| 0071A |
|
46 |
15 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
18 |
$954.13 |
| 90474 |
|
53 |
38 |
$635.00 |
| 0001A |
|
35 |
16 |
$384.00 |
| 90686 |
|
179 |
144 |
$288.32 |
| 96127 |
|
63 |
53 |
$221.01 |
| 90688 |
|
13 |
13 |
$110.39 |
| 96161 |
|
26 |
24 |
$56.81 |
| 99173 |
|
21 |
19 |
$39.45 |
| 96160 |
|
24 |
24 |
$28.98 |
| 90710 |
|
50 |
49 |
$0.00 |
| 90633 |
|
76 |
70 |
$0.00 |
| 90670 |
|
243 |
208 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90734 |
|
36 |
34 |
$0.00 |
| 91300 |
|
28 |
20 |
$0.00 |
| 90647 |
|
55 |
36 |
$0.00 |
| 90723 |
|
28 |
24 |
$0.00 |
| 91307 |
|
125 |
66 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90680 |
|
37 |
26 |
$0.00 |