| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,991 |
6,085 |
$422K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,404 |
3,866 |
$194K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
282 |
261 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
232 |
222 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
251 |
233 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
273 |
241 |
$19K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
218 |
191 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
163 |
152 |
$13K |
| 90715 |
|
219 |
185 |
$7K |
| 90670 |
|
146 |
132 |
$4K |
| 90686 |
|
255 |
188 |
$4K |
| 99385 |
|
30 |
26 |
$3K |
| 90734 |
|
78 |
72 |
$973.69 |
| 99215 |
Prolong outpt/office vis |
21 |
12 |
$799.20 |
| 90662 |
|
19 |
14 |
$759.21 |
| 90656 |
|
41 |
34 |
$667.11 |
| 90680 |
|
59 |
54 |
$648.84 |
| 90744 |
|
70 |
67 |
$468.62 |
| 90698 |
|
69 |
66 |
$462.22 |
| 90723 |
|
30 |
25 |
$451.30 |
| 90648 |
|
51 |
42 |
$417.29 |
| 90677 |
|
12 |
12 |
$368.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
12 |
$235.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
32 |
$0.00 |