| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,212 |
1,145 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,765 |
1,646 |
$138K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
199 |
199 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
157 |
156 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,226 |
1,174 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
66 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
208 |
206 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
56 |
56 |
$842.72 |
| 96127 |
|
87 |
87 |
$369.51 |
| 90686 |
|
373 |
372 |
$107.43 |
| 90656 |
|
47 |
46 |
$62.43 |
| 90661 |
|
45 |
45 |
$31.78 |
| 99173 |
|
999 |
998 |
$9.12 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |