| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,141 |
1,712 |
$118K |
| 99401 |
|
842 |
797 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
622 |
575 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
442 |
414 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
267 |
266 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
64 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
51 |
51 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
946 |
930 |
$458.76 |
| 90686 |
|
141 |
140 |
$115.88 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$78.76 |
| 90670 |
|
432 |
427 |
$40.00 |
| S9470 |
Nutritional counseling, dietitian visit |
1,355 |
1,288 |
$30.00 |
| 99173 |
|
177 |
177 |
$0.00 |
| 90633 |
|
16 |
16 |
$0.00 |
| 99000 |
|
80 |
78 |
$0.00 |
| 90680 |
|
296 |
293 |
$0.00 |
| 90698 |
|
332 |
328 |
$0.00 |
| 92551 |
|
118 |
116 |
$0.00 |
| 90744 |
|
259 |
258 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
37 |
$0.00 |
| 99070 |
|
20 |
20 |
$0.00 |