| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,206 |
2,003 |
$58K |
| 99072 |
|
1,697 |
1,516 |
$21K |
| 92552 |
|
327 |
327 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
471 |
346 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66 |
65 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$584.55 |
| 0072A |
|
14 |
14 |
$560.00 |
| 99173 |
|
171 |
171 |
$463.11 |
| 81002 |
|
172 |
171 |
$419.16 |
| 90686 |
|
170 |
170 |
$391.42 |
| 81003 |
|
127 |
126 |
$297.21 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
37 |
$234.64 |
| 96127 |
|
27 |
27 |
$120.02 |
| 85018 |
|
34 |
33 |
$81.96 |
| 36416 |
|
14 |
14 |
$0.00 |