| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
212 |
199 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85 |
79 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
73 |
73 |
$1K |
| 90461 |
|
32 |
32 |
$707.37 |
| 94760 |
|
40 |
39 |
$3.38 |
| G9153 |
Mapcp demonstration - physician incentive pool |
50 |
50 |
$0.00 |