| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,175 |
10,962 |
$538K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,132 |
1,111 |
$86K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
929 |
906 |
$80K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,263 |
3,747 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
652 |
641 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
743 |
711 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
366 |
333 |
$23K |
| 90461 |
|
1,589 |
1,039 |
$18K |
| 92551 |
|
776 |
755 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
176 |
167 |
$5K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
56 |
55 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
28 |
28 |
$3K |
| 90633 |
|
967 |
913 |
$2K |
| 90686 |
|
603 |
588 |
$853.73 |
| 90688 |
|
435 |
422 |
$604.81 |
| 90670 |
|
148 |
146 |
$420.00 |
| 90648 |
|
125 |
122 |
$420.00 |
| 92567 |
|
21 |
18 |
$282.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$216.25 |
| 90723 |
|
42 |
39 |
$200.00 |
| 90651 |
|
71 |
68 |
$181.76 |
| 90680 |
|
29 |
27 |
$160.00 |
| 90734 |
|
158 |
154 |
$143.30 |
| 90715 |
|
12 |
12 |
$20.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |