| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
756 |
700 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
277 |
257 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
598 |
572 |
$4K |
| 90461 |
|
131 |
127 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$755.28 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
13 |
$727.02 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
48 |
$412.96 |
| 90658 |
|
104 |
104 |
$406.85 |
| 92551 |
|
75 |
75 |
$345.07 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
19 |
$263.41 |
| 99173 |
|
59 |
59 |
$226.80 |