| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,889 |
4,483 |
$275K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,338 |
1,290 |
$100K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
520 |
516 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
454 |
454 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
449 |
448 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
332 |
332 |
$33K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
557 |
557 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
283 |
283 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
767 |
767 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
138 |
137 |
$8K |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$3K |
| 99460 |
|
28 |
28 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
130 |
127 |
$2K |
| 99462 |
|
13 |
13 |
$571.52 |