| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,322 |
1,048 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
363 |
173 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
414 |
375 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
162 |
150 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
116 |
110 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
503 |
454 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
15 |
$772.10 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90700 |
|
54 |
52 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
323 |
301 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90649 |
|
13 |
12 |
$0.00 |