| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,483 |
29,766 |
$2.29M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,808 |
20,673 |
$1.29M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,814 |
3,757 |
$128K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
682 |
640 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
759 |
733 |
$37K |
| 99223 |
Prolong inpt eval add15 m |
341 |
321 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
512 |
492 |
$25K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
947 |
880 |
$22K |
| 99236 |
Prolong inpt eval add15 m |
192 |
182 |
$21K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
486 |
344 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
306 |
286 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
357 |
315 |
$10K |
| 90671 |
|
107 |
103 |
$4K |
| 90688 |
|
1,979 |
1,759 |
$3K |
| 90633 |
|
2,019 |
1,951 |
$3K |
| 96127 |
|
777 |
679 |
$3K |
| 90620 |
|
1,220 |
1,152 |
$2K |
| 90651 |
|
983 |
942 |
$2K |
| 90698 |
|
815 |
784 |
$2K |
| 90670 |
|
923 |
891 |
$2K |
| 90686 |
|
1,073 |
1,050 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
39 |
$1K |
| 90734 |
|
644 |
614 |
$1K |
| 90672 |
|
942 |
886 |
$1K |
| 90680 |
|
333 |
325 |
$802.43 |
| 90621 |
|
490 |
479 |
$694.58 |
| 90658 |
|
226 |
222 |
$570.97 |
| 90716 |
|
207 |
204 |
$360.00 |
| 90649 |
|
152 |
145 |
$358.45 |
| 90707 |
|
196 |
193 |
$350.00 |
| 90744 |
|
156 |
148 |
$290.00 |
| 90660 |
|
182 |
181 |
$285.00 |
| 90687 |
|
152 |
146 |
$199.50 |
| 90697 |
|
56 |
54 |
$180.00 |
| 90657 |
|
39 |
39 |
$140.00 |
| 90713 |
|
85 |
82 |
$46.94 |
| 90677 |
|
12 |
12 |
$40.00 |
| 90723 |
|
12 |
12 |
$30.00 |
| 90700 |
|
86 |
84 |
$26.94 |
| 90715 |
|
40 |
39 |
$20.00 |
| 90648 |
|
13 |
13 |
$0.00 |