| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,203 |
18,818 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
422 |
411 |
$574.64 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
76 |
70 |
$570.73 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
191 |
188 |
$301.00 |
| 90630 |
|
633 |
631 |
$224.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,178 |
1,884 |
$124.90 |
| G9920 |
Screening performed and negative |
96 |
93 |
$65.00 |
| 99401 |
|
247 |
247 |
$47.98 |
| 90734 |
|
26 |
26 |
$45.00 |
| 90650 |
|
54 |
54 |
$18.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
90 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
619 |
546 |
$0.00 |
| 90649 |
|
45 |
45 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |