| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,673 |
5,296 |
$284K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,597 |
1,578 |
$129K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,323 |
1,317 |
$119K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,320 |
1,306 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,709 |
1,571 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
878 |
863 |
$80K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,352 |
4,847 |
$27K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
282 |
87 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55 |
52 |
$4K |
| 94010 |
|
514 |
491 |
$3K |
| 90686 |
|
2,166 |
2,148 |
$2K |
| 90670 |
|
689 |
676 |
$1K |
| 94618 |
|
107 |
100 |
$1K |
| 94664 |
|
128 |
126 |
$329.49 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
126 |
38 |
$232.38 |
| 90633 |
|
220 |
214 |
$190.00 |
| 90649 |
|
49 |
47 |
$170.00 |
| 90651 |
|
177 |
174 |
$160.00 |
| 90681 |
|
96 |
93 |
$140.00 |
| 90648 |
|
588 |
575 |
$40.00 |
| 90734 |
|
103 |
100 |
$30.00 |
| 90688 |
|
14 |
14 |
$30.00 |
| 90685 |
|
12 |
12 |
$20.00 |
| 90700 |
|
117 |
116 |
$20.00 |
| 90671 |
|
173 |
169 |
$0.00 |
| 90461 |
|
369 |
145 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
81 |
75 |
$0.00 |
| 90620 |
|
15 |
15 |
$0.00 |
| 90647 |
|
148 |
147 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90723 |
|
79 |
77 |
$0.00 |