| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
38,808 |
31,566 |
$1.83M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,416 |
3,263 |
$221K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
688 |
685 |
$150K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,232 |
1,191 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
983 |
971 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
650 |
645 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
609 |
607 |
$39K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
508 |
482 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
353 |
353 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,052 |
1,030 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
534 |
529 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
82 |
81 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$891.94 |
| 90656 |
|
85 |
85 |
$620.16 |
| 99443 |
|
18 |
18 |
$462.46 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
28 |
$360.87 |
| 86580 |
|
62 |
52 |
$255.51 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$73.11 |
| 99401 |
|
12 |
12 |
$45.55 |