| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,604 |
1,438 |
$123K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,460 |
1,330 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,451 |
1,359 |
$68K |
| 90670 |
|
1,024 |
926 |
$13K |
| 90723 |
|
832 |
760 |
$10K |
| 90647 |
|
712 |
632 |
$8K |
| 90677 |
|
245 |
223 |
$8K |
| 90686 |
|
465 |
425 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
47 |
$4K |
| 90681 |
|
271 |
253 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
17 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
155 |
141 |
$2K |
| 90633 |
|
93 |
88 |
$1K |
| 90656 |
|
60 |
59 |
$992.91 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
34 |
$897.75 |
| 90685 |
|
84 |
82 |
$553.01 |
| 90710 |
|
15 |
15 |
$250.65 |
| 90696 |
|
12 |
12 |
$200.52 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$0.00 |