| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,487 |
4,074 |
$340K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,113 |
5,022 |
$294K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,217 |
2,034 |
$150K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,441 |
1,341 |
$110K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,248 |
1,135 |
$93K |
| 99460 |
|
1,165 |
1,106 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
681 |
544 |
$53K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,180 |
1,118 |
$43K |
| 90670 |
|
1,253 |
1,123 |
$18K |
| 99462 |
|
718 |
510 |
$15K |
| 90698 |
|
1,230 |
1,104 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
732 |
691 |
$9K |
| 90686 |
|
763 |
721 |
$7K |
| 90680 |
|
545 |
507 |
$4K |
| 90734 |
|
178 |
103 |
$3K |
| 90744 |
|
366 |
338 |
$3K |
| 99381 |
|
29 |
29 |
$2K |
| 90710 |
|
227 |
200 |
$2K |
| 90685 |
|
315 |
298 |
$2K |
| 99050 |
|
315 |
258 |
$1K |
| 90715 |
|
90 |
58 |
$1K |
| 90633 |
|
157 |
144 |
$1K |
| 90677 |
|
27 |
27 |
$995.07 |
| 90651 |
|
18 |
13 |
$934.68 |
| 96127 |
|
58 |
46 |
$699.60 |
| 90656 |
|
35 |
34 |
$584.85 |
| 90619 |
|
32 |
32 |
$534.72 |
| 90700 |
|
28 |
26 |
$179.20 |
| 90713 |
|
27 |
25 |
$172.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,746 |
1,445 |
$0.00 |
| 90461 |
|
656 |
529 |
$0.00 |