| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,240 |
896 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
565 |
497 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
405 |
308 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
157 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
828 |
642 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
144 |
57 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
748 |
599 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
28 |
$2K |
| 99188 |
|
40 |
26 |
$278.16 |
| 90473 |
|
51 |
44 |
$186.36 |
| 90634 |
|
14 |
14 |
$0.74 |
| 90723 |
|
49 |
47 |
$0.00 |
| 90688 |
|
143 |
137 |
$0.00 |
| 90698 |
|
16 |
15 |
$0.00 |
| 90680 |
|
46 |
45 |
$0.00 |
| 90648 |
|
90 |
86 |
$0.00 |
| 90670 |
|
226 |
212 |
$0.00 |