| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,218 |
1,052 |
$84K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
366 |
358 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
303 |
301 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
131 |
131 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
738 |
681 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
85 |
82 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
51 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
100 |
97 |
$1K |
| 90686 |
|
236 |
235 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90651 |
|
27 |
27 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
347 |
338 |
$0.00 |
| 90670 |
|
92 |
91 |
$0.00 |
| 99173 |
|
140 |
140 |
$0.00 |
| 90633 |
|
43 |
42 |
$0.00 |
| 90648 |
|
13 |
12 |
$0.00 |
| 90685 |
|
42 |
41 |
$0.00 |
| 90461 |
|
24 |
24 |
$0.00 |