| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,804 |
1,689 |
$210K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
688 |
685 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
702 |
672 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
404 |
398 |
$43K |
| 90461 |
|
959 |
944 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,468 |
1,447 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
267 |
264 |
$29K |
| 99383 |
|
100 |
100 |
$18K |
| 99384 |
|
89 |
89 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
119 |
119 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
90 |
90 |
$10K |
| 99381 |
|
45 |
45 |
$8K |
| 86403 |
|
592 |
579 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
46 |
$5K |
| 99382 |
|
28 |
28 |
$5K |
| 90723 |
|
308 |
303 |
$69.37 |
| 90658 |
|
238 |
237 |
$0.00 |
| 90681 |
|
92 |
91 |
$0.00 |
| 90670 |
|
434 |
427 |
$0.00 |
| 90633 |
|
175 |
172 |
$0.00 |
| 90710 |
|
40 |
40 |
$0.00 |
| 90649 |
|
98 |
98 |
$0.00 |
| 90715 |
|
33 |
33 |
$0.00 |
| 90647 |
|
298 |
293 |
$0.00 |
| 90696 |
|
54 |
54 |
$0.00 |
| 90657 |
|
145 |
145 |
$0.00 |
| 90619 |
|
76 |
75 |
$0.00 |
| 90620 |
|
29 |
29 |
$0.00 |