| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
977 |
923 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
479 |
462 |
$17K |
| 99384 |
|
109 |
96 |
$8K |
| 99383 |
|
122 |
108 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
97 |
93 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
337 |
326 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
56 |
$4K |
| 99382 |
|
39 |
32 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
37 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
138 |
133 |
$2K |
| 99173 |
|
980 |
930 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$688.95 |
| 90649 |
|
12 |
12 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |