| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,866 |
3,479 |
$184K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
347 |
347 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,706 |
1,686 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
297 |
296 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
208 |
208 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
112 |
108 |
$9K |
| 83655 |
|
520 |
520 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
791 |
785 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
57 |
$4K |
| 99188 |
|
59 |
59 |
$1K |
| 90686 |
|
73 |
73 |
$1K |
| 3008F |
|
187 |
186 |
$256.00 |
| 90716 |
|
12 |
12 |
$107.62 |
| 87430 |
|
12 |
12 |
$67.39 |
| 90707 |
|
13 |
13 |
$60.45 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
204 |
204 |
$51.10 |