| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,114 |
1,706 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
620 |
541 |
$27K |
| 99215 |
Prolong outpt/office vis |
302 |
243 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
578 |
512 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
188 |
174 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
154 |
143 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
59 |
$6K |
| 90461 |
|
35 |
35 |
$1K |
| 90656 |
|
40 |
37 |
$18.47 |
| 90698 |
|
87 |
75 |
$0.00 |
| 90680 |
|
59 |
49 |
$0.00 |
| 90670 |
|
116 |
102 |
$0.00 |
| 90655 |
|
39 |
31 |
$0.00 |