| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,697 |
2,099 |
$86K |
| 99384 |
|
121 |
120 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
104 |
92 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
438 |
407 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
688 |
576 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
288 |
268 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
112 |
106 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
150 |
147 |
$1K |
| 92551 |
|
152 |
141 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
29 |
$1K |
| 99385 |
|
16 |
12 |
$842.10 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
21 |
13 |
$766.59 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$731.74 |
| 99173 |
|
445 |
392 |
$379.62 |
| 99401 |
|
16 |
12 |
$248.00 |
| 94760 |
|
79 |
44 |
$24.22 |
| 90620 |
|
267 |
256 |
$0.00 |
| 90632 |
|
37 |
30 |
$0.00 |
| 2000F |
|
104 |
92 |
$0.00 |
| 90651 |
|
53 |
52 |
$0.00 |
| 90686 |
|
86 |
84 |
$0.00 |
| 90734 |
|
60 |
60 |
$0.00 |