| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,697 |
3,379 |
$598K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
703 |
655 |
$106K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
304 |
299 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
243 |
236 |
$46K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
53 |
$9K |
| 99384 |
|
16 |
16 |
$4K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
750 |
596 |
$3K |
| 99383 |
|
17 |
14 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
838 |
816 |
$0.01 |
| 90461 |
|
380 |
372 |
$0.00 |
| 90700 |
|
30 |
27 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90715 |
|
53 |
52 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 90710 |
|
30 |
27 |
$0.00 |
| 90686 |
|
242 |
240 |
$0.00 |
| 90619 |
|
126 |
124 |
$0.00 |
| 90651 |
|
137 |
136 |
$0.00 |
| 90620 |
|
60 |
59 |
$0.00 |