| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,043 |
10,623 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
808 |
808 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,676 |
1,646 |
$5K |
| 93000 |
|
152 |
151 |
$1K |
| 96160 |
|
3,409 |
3,368 |
$989.89 |
| 90688 |
|
216 |
212 |
$404.92 |
| 97803 |
|
2,252 |
2,130 |
$313.46 |
| 97802 |
|
3,109 |
2,764 |
$231.04 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
25 |
$132.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
108 |
105 |
$66.90 |
| 81002 |
|
93 |
92 |
$10.75 |
| 3078F |
|
6,112 |
5,495 |
$4.00 |
| 3074F |
|
6,623 |
5,934 |
$4.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
37 |
37 |
$0.01 |
| 3077F |
|
664 |
616 |
$0.00 |
| 90756 |
|
30 |
30 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$0.00 |
| 90658 |
|
21 |
20 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$0.00 |
| 3075F |
|
1,915 |
1,815 |
$0.00 |
| 3079F |
|
2,690 |
2,524 |
$0.00 |
| 3080F |
|
261 |
241 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |