| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,620 |
11,598 |
$1.10M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,033 |
3,694 |
$348K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,716 |
3,194 |
$134K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
637 |
505 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
115 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
49 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
58 |
50 |
$4K |
| 90649 |
|
62 |
59 |
$3K |
| 90651 |
|
82 |
80 |
$3K |
| 90688 |
|
191 |
190 |
$2K |
| 90633 |
|
155 |
151 |
$2K |
| 90621 |
|
134 |
122 |
$2K |
| 90686 |
|
167 |
162 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$2K |
| 90620 |
|
41 |
38 |
$2K |
| 90619 |
|
38 |
37 |
$1K |
| 90734 |
|
48 |
46 |
$1K |
| 90715 |
|
74 |
69 |
$963.06 |
| 86580 |
|
45 |
40 |
$284.17 |
| 90744 |
|
24 |
24 |
$256.19 |
| 90713 |
|
14 |
14 |
$187.62 |
| 90670 |
|
13 |
13 |
$145.75 |
| 90707 |
|
16 |
14 |
$133.65 |
| 90716 |
|
14 |
12 |
$111.10 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18 |
13 |
$0.00 |