| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,488 |
4,941 |
$192K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,017 |
983 |
$86K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
916 |
887 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,229 |
1,150 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
628 |
597 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
203 |
174 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
980 |
464 |
$7K |
| 99381 |
|
24 |
24 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
39 |
24 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$1K |
| 90461 |
|
99 |
74 |
$521.96 |
| 86580 |
|
26 |
25 |
$142.12 |
| 90686 |
|
15 |
15 |
$0.00 |
| 90620 |
|
13 |
12 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |