| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,055 |
1,688 |
$139K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
634 |
559 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
560 |
479 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
107 |
89 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
370 |
364 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
54 |
48 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
172 |
168 |
$4K |
| 86580 |
|
283 |
279 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
45 |
45 |
$1K |
| 99442 |
|
13 |
12 |
$1K |
| 83655 |
|
67 |
67 |
$435.34 |
| 90656 |
|
14 |
14 |
$57.75 |