| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,411 |
8,858 |
$509K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,916 |
4,522 |
$359K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,123 |
1,106 |
$129K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
909 |
891 |
$110K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
780 |
742 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
606 |
559 |
$61K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,152 |
2,052 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
228 |
218 |
$7K |
| 99383 |
|
13 |
13 |
$2K |
| 99422 |
|
47 |
44 |
$1K |
| 92552 |
|
389 |
353 |
$902.77 |
| 90461 |
|
109 |
107 |
$276.00 |
| 90716 |
|
114 |
113 |
$122.02 |
| 90649 |
|
180 |
166 |
$118.76 |
| 81002 |
|
79 |
72 |
$75.02 |
| 90707 |
|
101 |
100 |
$70.92 |
| 90658 |
|
126 |
114 |
$50.00 |
| 90700 |
|
90 |
90 |
$25.80 |
| 90715 |
|
14 |
14 |
$10.00 |
| 99173 |
|
499 |
460 |
$0.00 |
| 90648 |
|
387 |
374 |
$0.00 |
| 90670 |
|
366 |
356 |
$0.00 |
| 90633 |
|
26 |
25 |
$0.00 |
| 90713 |
|
27 |
27 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90620 |
|
375 |
324 |
$0.00 |
| 90723 |
|
171 |
164 |
$0.00 |
| 96127 |
|
115 |
109 |
$0.00 |
| 90680 |
|
27 |
26 |
$0.00 |
| 90733 |
|
79 |
70 |
$0.00 |