| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,029 |
3,254 |
$211K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,657 |
1,579 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
412 |
398 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
603 |
566 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
223 |
218 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
187 |
182 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
164 |
154 |
$12K |
| 90461 |
|
1,563 |
466 |
$4K |
| 92551 |
|
195 |
179 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
43 |
$466.26 |
| 81003 |
|
198 |
178 |
$332.59 |
| 99173 |
|
188 |
168 |
$10.50 |
| 90677 |
|
93 |
92 |
$0.54 |
| 90686 |
|
285 |
279 |
$0.32 |
| 90734 |
|
19 |
17 |
$0.02 |
| 90670 |
|
203 |
194 |
$0.02 |
| 90698 |
|
54 |
54 |
$0.00 |
| 90680 |
|
57 |
55 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |