| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,655 |
6,170 |
$1.99M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,285 |
1,110 |
$242K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
244 |
205 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
132 |
130 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
99 |
96 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
37 |
$11K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
152 |
135 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
339 |
313 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
16 |
15 |
$504.00 |
| 90686 |
|
29 |
27 |
$0.00 |
| 90658 |
|
14 |
14 |
$0.00 |