| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,077 |
1,672 |
$178K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,170 |
997 |
$68K |
| 99215 |
Prolong outpt/office vis |
318 |
280 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
122 |
113 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
86 |
67 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
42 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
739 |
700 |
$3K |
| 97802 |
|
762 |
731 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$3K |
| 97803 |
|
60 |
56 |
$2K |
| 90461 |
|
45 |
33 |
$665.13 |
| 85018 |
|
384 |
362 |
$537.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
41 |
$491.14 |
| 81000 |
|
163 |
152 |
$157.28 |
| 90686 |
|
137 |
130 |
$71.87 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
14 |
$66.00 |
| 83655 |
|
54 |
53 |
$64.76 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
808 |
770 |
$0.00 |
| 90656 |
|
18 |
15 |
$0.00 |