| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,676 |
2,489 |
$110K |
| 99442 |
|
1,391 |
1,273 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
987 |
884 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
650 |
497 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
153 |
144 |
$9K |
| 99050 |
|
356 |
320 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
44 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
26 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
23 |
14 |
$917.07 |
| 99441 |
|
95 |
86 |
$913.56 |
| 82962 |
|
353 |
336 |
$836.30 |
| 99443 |
|
28 |
25 |
$775.14 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$660.77 |
| 86580 |
|
18 |
13 |
$77.39 |