| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,748 |
6,339 |
$392K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,160 |
3,064 |
$310K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,027 |
2,985 |
$303K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,753 |
1,728 |
$190K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,856 |
3,661 |
$164K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,069 |
1,058 |
$117K |
| 92552 |
|
4,551 |
4,511 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,309 |
8,168 |
$19K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,763 |
4,704 |
$18K |
| 99460 |
|
127 |
118 |
$11K |
| 92081 |
|
4,257 |
4,117 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
108 |
101 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
72 |
$3K |
| 90670 |
|
640 |
632 |
$260.00 |
| 99462 |
|
13 |
12 |
$195.47 |
| 90686 |
|
417 |
412 |
$120.00 |
| 86580 |
|
119 |
116 |
$119.78 |
| 90680 |
|
196 |
188 |
$0.00 |
| 90698 |
|
196 |
194 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 90744 |
|
28 |
28 |
$0.00 |
| 90651 |
|
48 |
48 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90710 |
|
13 |
12 |
$0.00 |
| 90734 |
|
33 |
33 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |