| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
750 |
702 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
743 |
660 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
856 |
817 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
236 |
228 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
152 |
149 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
154 |
149 |
$8K |
| 92551 |
|
579 |
544 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
302 |
290 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
72 |
60 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
162 |
159 |
$2K |
| 81025 |
|
184 |
177 |
$946.53 |
| 99173 |
|
586 |
543 |
$604.14 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$376.40 |
| 90734 |
|
32 |
31 |
$0.00 |
| 90633 |
|
40 |
40 |
$0.00 |
| 90649 |
|
15 |
15 |
$0.00 |
| 90651 |
|
17 |
16 |
$0.00 |