| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,530 |
9,607 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
860 |
852 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,183 |
1,162 |
$13K |
| 92551 |
|
386 |
384 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$589.44 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
12 |
$423.90 |
| 90674 |
|
70 |
70 |
$353.00 |
| 92552 |
|
39 |
39 |
$344.78 |
| 85018 |
|
525 |
506 |
$229.61 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
35 |
$198.00 |
| 81002 |
|
458 |
454 |
$193.28 |
| 93000 |
|
17 |
17 |
$181.50 |
| 90715 |
|
40 |
40 |
$172.52 |
| 86580 |
|
18 |
18 |
$122.21 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
40 |
$85.10 |
| 99173 |
|
229 |
227 |
$5.00 |