| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,136 |
5,683 |
$265K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,462 |
2,058 |
$141K |
| W0037 |
|
863 |
863 |
$66K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
461 |
401 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
453 |
427 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
606 |
592 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
353 |
346 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,398 |
1,345 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
134 |
127 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
51 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
193 |
186 |
$3K |
| 90686 |
|
989 |
975 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
156 |
119 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
25 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
44 |
43 |
$695.72 |
| 71046 |
Radiologic examination, chest; 2 views |
41 |
38 |
$633.89 |
| 0071A |
|
15 |
15 |
$595.05 |
| 90651 |
|
76 |
76 |
$582.92 |
| 74018 |
|
14 |
12 |
$177.36 |
| 90670 |
|
261 |
251 |
$172.51 |
| 90715 |
|
24 |
24 |
$131.10 |
| 90461 |
|
24 |
24 |
$0.00 |
| 90734 |
|
32 |
30 |
$0.00 |
| 90633 |
|
63 |
58 |
$0.00 |
| 91300 |
|
16 |
12 |
$0.00 |
| 90744 |
|
14 |
14 |
$0.00 |
| 90698 |
|
248 |
241 |
$0.00 |
| 90680 |
|
27 |
26 |
$0.00 |
| 91307 |
|
27 |
27 |
$0.00 |
| 90674 |
|
23 |
23 |
$0.00 |