| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,460 |
1,334 |
$120K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
919 |
793 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,244 |
1,053 |
$52K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
612 |
599 |
$20K |
| 92551 |
|
407 |
407 |
$3K |
| 86580 |
|
366 |
365 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$939.64 |
| 99173 |
|
285 |
285 |
$714.50 |
| 90686 |
|
208 |
208 |
$326.81 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
16 |
$326.08 |
| 36410 |
|
25 |
25 |
$115.86 |
| 99000 |
|
87 |
85 |
$0.00 |
| 99001 |
|
12 |
12 |
$0.00 |