| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,675 |
2,432 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
934 |
863 |
$65K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,847 |
1,762 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
319 |
316 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
129 |
125 |
$10K |
| 90461 |
|
176 |
163 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
85 |
76 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
53 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
24 |
$2K |
| 0071A |
|
17 |
16 |
$1K |
| 0072A |
|
15 |
15 |
$908.58 |
| 99173 |
|
512 |
483 |
$756.97 |
| 96127 |
|
37 |
37 |
$151.84 |
| 94760 |
|
14 |
13 |
$21.26 |
| 90688 |
|
126 |
104 |
$15.43 |
| 90686 |
|
170 |
167 |
$0.17 |