| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,037 |
2,569 |
$127K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,579 |
3,763 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
837 |
732 |
$54K |
| 99384 |
|
428 |
380 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
476 |
443 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
485 |
432 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
447 |
401 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,905 |
1,619 |
$23K |
| 99383 |
|
340 |
299 |
$23K |
| 92551 |
|
2,600 |
2,187 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,038 |
917 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
174 |
152 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
223 |
201 |
$13K |
| 99382 |
|
145 |
129 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
178 |
158 |
$10K |
| 99173 |
|
2,681 |
2,246 |
$4K |
| 85018 |
|
924 |
673 |
$2K |
| 81002 |
|
644 |
465 |
$1K |
| 99381 |
|
19 |
15 |
$991.77 |
| 90474 |
|
89 |
86 |
$777.88 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
42 |
29 |
$564.63 |
| 95115 |
|
48 |
29 |
$300.55 |
| 90473 |
|
13 |
13 |
$135.59 |
| 36416 |
|
962 |
682 |
$103.73 |
| 90649 |
|
212 |
176 |
$0.00 |
| 90633 |
|
54 |
52 |
$0.00 |
| 90648 |
|
82 |
78 |
$0.00 |
| 90707 |
|
88 |
74 |
$0.00 |
| 90713 |
|
88 |
75 |
$0.00 |
| 90670 |
|
220 |
197 |
$0.00 |
| 90734 |
|
122 |
109 |
$0.00 |
| 90700 |
|
206 |
180 |
$0.00 |
| 96160 |
|
48 |
41 |
$0.00 |
| 90671 |
|
13 |
13 |
$0.00 |
| 90715 |
|
14 |
12 |
$0.00 |
| 90672 |
|
17 |
16 |
$0.00 |
| 90686 |
|
202 |
185 |
$0.00 |
| 90620 |
|
232 |
206 |
$0.00 |
| 90716 |
|
88 |
74 |
$0.00 |
| 90619 |
|
142 |
107 |
$0.00 |
| 90680 |
|
78 |
73 |
$0.00 |
| 96127 |
|
30 |
23 |
$0.00 |
| 90697 |
|
27 |
27 |
$0.00 |