| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,164 |
2,565 |
$126K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,189 |
1,440 |
$107K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,746 |
1,765 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
378 |
269 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
184 |
136 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
167 |
113 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
86 |
69 |
$5K |
| 92551 |
|
1,744 |
1,241 |
$4K |
| 99051 |
|
282 |
261 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
246 |
222 |
$3K |
| 99173 |
|
1,701 |
1,228 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
66 |
57 |
$511.28 |
| 99499 |
|
50 |
46 |
$494.00 |
| 90634 |
|
13 |
13 |
$0.00 |