| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,372 |
1,837 |
$163K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,649 |
1,046 |
$136K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
489 |
393 |
$110K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
159 |
130 |
$26K |
| J3490 |
Unclassified drugs |
195 |
129 |
$17K |
| Z1034 |
|
173 |
140 |
$10K |
| Z1032 |
|
41 |
41 |
$7K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
488 |
488 |
$5K |
| Z6500 |
|
41 |
41 |
$5K |
| Z6412 |
|
193 |
156 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
27 |
$2K |
| 92552 |
|
150 |
150 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$1K |
| 81025 |
|
345 |
345 |
$943.26 |
| 90670 |
|
107 |
106 |
$864.00 |
| Z6400 |
|
41 |
41 |
$634.09 |
| 85018 |
|
265 |
263 |
$587.62 |
| 90647 |
|
74 |
74 |
$576.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$528.92 |
| 90723 |
|
41 |
41 |
$324.00 |
| 90680 |
|
40 |
40 |
$324.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
15 |
$141.60 |
| 90633 |
|
15 |
15 |
$108.00 |
| 90710 |
|
12 |
12 |
$81.00 |
| 90649 |
|
14 |
14 |
$63.00 |
| 86580 |
|
12 |
12 |
$36.97 |