| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,845 |
7,244 |
$934K |
| 99442 |
|
609 |
412 |
$50K |
| 99441 |
|
378 |
238 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
226 |
169 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
100 |
43 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
79 |
41 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
76 |
21 |
$4K |
| 90686 |
|
174 |
145 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
13 |
13 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$293.52 |
| 96127 |
|
31 |
28 |
$275.04 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
73 |
72 |
$124.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
17 |
$118.03 |
| 3008F |
|
70 |
68 |
$0.04 |
| 99173 |
|
15 |
15 |
$0.00 |