| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,253 |
1,045 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
769 |
644 |
$76K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
628 |
568 |
$18K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
104 |
97 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
53 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
391 |
339 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
32 |
$3K |
| 90480 |
|
49 |
42 |
$2K |
| 0071A |
|
18 |
15 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
26 |
$679.68 |
| 0072A |
|
18 |
13 |
$617.70 |
| 0002A |
|
14 |
14 |
$581.53 |
| 90686 |
|
259 |
244 |
$438.56 |
| 0004A |
|
13 |
13 |
$411.80 |
| 0001A |
|
16 |
14 |
$406.89 |
| 96127 |
|
43 |
25 |
$393.56 |
| 90461 |
|
26 |
25 |
$351.77 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
13 |
$312.00 |
| 90656 |
|
86 |
73 |
$305.89 |
| 94760 |
|
113 |
90 |
$63.50 |
| 91300 |
|
63 |
59 |
$0.00 |
| 91312 |
|
19 |
12 |
$0.00 |
| 91321 |
|
12 |
12 |
$0.00 |
| 91307 |
|
46 |
30 |
$0.00 |