| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,430 |
1,373 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
593 |
577 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
255 |
244 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
304 |
304 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
321 |
320 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 90473 |
|
58 |
58 |
$290.00 |
| 90658 |
|
15 |
15 |
$165.20 |
| H0049 |
Alcohol and/or drug screening |
108 |
103 |
$115.20 |
| 90697 |
|
82 |
82 |
$0.00 |
| 90680 |
|
73 |
73 |
$0.00 |
| 90677 |
|
17 |
17 |
$0.00 |
| 90674 |
|
42 |
42 |
$0.00 |
| 90656 |
|
37 |
37 |
$0.00 |
| 90671 |
|
83 |
83 |
$0.00 |