| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,944 |
5,558 |
$372K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,880 |
1,822 |
$174K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,719 |
1,718 |
$145K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,894 |
1,894 |
$144K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,735 |
5,664 |
$126K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,422 |
1,421 |
$108K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
817 |
814 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,394 |
1,373 |
$48K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
70 |
70 |
$6K |
| 96127 |
|
752 |
750 |
$2K |
| 99172 |
|
773 |
773 |
$1K |
| 99422 |
|
57 |
57 |
$922.98 |
| 90619 |
|
85 |
85 |
$153.17 |
| 81002 |
|
54 |
53 |
$118.02 |
| 99173 |
|
327 |
327 |
$57.03 |
| 90688 |
|
119 |
119 |
$52.28 |
| 90686 |
|
891 |
890 |
$19.58 |
| 90687 |
|
12 |
12 |
$9.40 |
| 3008F |
|
635 |
635 |
$0.00 |
| 90620 |
|
96 |
96 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90660 |
|
27 |
27 |
$0.00 |
| 90680 |
|
96 |
96 |
$0.00 |
| 90656 |
|
87 |
87 |
$0.00 |
| 90651 |
|
65 |
65 |
$0.00 |
| 90670 |
|
244 |
243 |
$0.00 |
| 90672 |
|
214 |
214 |
$0.00 |
| 90734 |
|
115 |
115 |
$0.00 |
| 90715 |
|
74 |
74 |
$0.00 |
| 90685 |
|
60 |
60 |
$0.00 |
| 90633 |
|
27 |
27 |
$0.00 |