| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,776 |
6,031 |
$761K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,591 |
2,177 |
$350K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,706 |
2,863 |
$232K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,938 |
1,719 |
$223K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,465 |
1,326 |
$185K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,227 |
6,189 |
$147K |
| 90461 |
|
3,256 |
2,776 |
$108K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,820 |
2,409 |
$75K |
| 86580 |
|
4,089 |
3,611 |
$47K |
| 99383 |
|
241 |
223 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
232 |
215 |
$26K |
| 99384 |
|
35 |
35 |
$5K |
| 99215 |
Prolong outpt/office vis |
17 |
16 |
$3K |
| 99382 |
|
12 |
12 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
17 |
$1K |
| 99421 |
|
14 |
14 |
$248.78 |