| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,646 |
11,440 |
$666K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,842 |
4,674 |
$298K |
| 94070 |
|
541 |
527 |
$13K |
| 93923 |
|
237 |
226 |
$9K |
| 93000 |
|
1,202 |
1,150 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
83 |
80 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
535 |
502 |
$6K |
| 90686 |
|
254 |
244 |
$3K |
| 94664 |
|
381 |
376 |
$2K |
| 90688 |
|
123 |
123 |
$2K |
| 90658 |
|
94 |
93 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$901.62 |
| 99490 |
Ccm add 20min |
696 |
599 |
$818.91 |
| 31231 |
|
18 |
14 |
$786.31 |
| 96127 |
|
69 |
67 |
$351.12 |
| 99439 |
|
157 |
144 |
$235.19 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
122 |
37 |
$91.31 |
| 94060 |
|
165 |
163 |
$71.21 |