| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,118 |
1,878 |
$159K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,003 |
921 |
$112K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
332 |
302 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
160 |
160 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
51 |
51 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
824 |
813 |
$4K |
| 99050 |
|
841 |
729 |
$3K |
| 90686 |
|
183 |
183 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
592 |
583 |
$952.66 |
| 90698 |
|
197 |
193 |
$822.57 |
| 90670 |
|
197 |
192 |
$653.18 |
| 90473 |
|
85 |
84 |
$637.29 |
| 90680 |
|
86 |
83 |
$618.19 |
| 99051 |
|
171 |
141 |
$545.09 |
| 36416 |
|
41 |
39 |
$347.19 |
| 90651 |
|
12 |
12 |
$295.77 |
| 90744 |
|
25 |
25 |
$168.76 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$84.49 |
| 90710 |
|
12 |
12 |
$32.52 |