| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,219 |
1,709 |
$178K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
804 |
662 |
$128K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
514 |
407 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,399 |
2,155 |
$16K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
625 |
625 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
257 |
245 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
268 |
258 |
$7K |
| 92552 |
|
601 |
601 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
116 |
109 |
$4K |
| J3490 |
Unclassified drugs |
24 |
12 |
$2K |
| 99383 |
|
16 |
13 |
$1K |
| 97802 |
|
77 |
77 |
$1K |
| 85018 |
|
764 |
764 |
$1K |
| 92551 |
|
59 |
59 |
$571.65 |
| 81000 |
|
400 |
400 |
$516.66 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
70 |
64 |
$388.24 |
| 90686 |
|
51 |
51 |
$352.35 |
| 90633 |
|
65 |
65 |
$351.00 |
| 86580 |
|
134 |
134 |
$330.70 |
| 81002 |
|
109 |
109 |
$240.97 |
| 90670 |
|
36 |
36 |
$180.00 |
| 81025 |
|
54 |
54 |
$151.20 |
| 83655 |
|
27 |
27 |
$121.00 |
| 90647 |
|
25 |
25 |
$117.00 |
| 90649 |
|
40 |
40 |
$99.00 |
| 90715 |
|
18 |
18 |
$81.00 |
| 90688 |
|
16 |
16 |
$72.00 |
| 90734 |
|
27 |
27 |
$45.00 |
| 92081 |
|
125 |
125 |
$20.00 |
| 92060 |
|
144 |
144 |
$0.00 |
| 3074F |
|
62 |
62 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$0.00 |
| 4000F |
|
38 |
38 |
$0.00 |
| 3008F |
|
35 |
35 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$0.00 |
| 99173 |
|
208 |
208 |
$0.00 |