| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,685 |
1,607 |
$204K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
885 |
831 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
511 |
511 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
400 |
399 |
$44K |
| 90461 |
|
995 |
993 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,635 |
1,618 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
321 |
321 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
290 |
288 |
$32K |
| 86403 |
|
369 |
362 |
$5K |
| 99215 |
Prolong outpt/office vis |
19 |
19 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
53 |
53 |
$1K |
| 90670 |
|
412 |
412 |
$0.00 |
| 90658 |
|
243 |
242 |
$0.00 |
| 90681 |
|
106 |
106 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90633 |
|
168 |
168 |
$0.00 |
| 90649 |
|
190 |
189 |
$0.00 |
| 90700 |
|
28 |
28 |
$0.00 |
| 90715 |
|
43 |
43 |
$0.00 |
| 90657 |
|
209 |
209 |
$0.00 |
| 90723 |
|
310 |
310 |
$0.00 |
| 90647 |
|
322 |
322 |
$0.00 |
| 90619 |
|
161 |
158 |
$0.00 |
| 90620 |
|
126 |
126 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |