| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,773 |
1,609 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,228 |
1,093 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
234 |
230 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
951 |
905 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
267 |
238 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
199 |
195 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,409 |
799 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
642 |
584 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
274 |
261 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
83 |
$5K |
| 90658 |
|
313 |
299 |
$1K |
| 90670 |
|
75 |
65 |
$443.60 |
| 92567 |
|
35 |
29 |
$407.36 |
| 90657 |
|
36 |
32 |
$266.64 |
| 90698 |
|
12 |
12 |
$11.01 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90621 |
|
49 |
49 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 99441 |
|
14 |
13 |
$0.00 |
| 90716 |
|
16 |
16 |
$0.00 |