| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,119 |
8,852 |
$176K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,487 |
9,069 |
$134K |
| 3074F |
|
4,306 |
4,160 |
$46K |
| 3078F |
|
3,893 |
3,759 |
$32K |
| 90686 |
|
673 |
666 |
$6K |
| 3079F |
|
551 |
530 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
53 |
49 |
$2K |
| 90662 |
|
33 |
33 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
356 |
353 |
$1K |
| 92551 |
|
38 |
38 |
$966.31 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$810.33 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
25 |
$686.67 |
| 85018 |
|
113 |
113 |
$635.52 |
| 0011A |
|
14 |
14 |
$402.71 |
| 3077F |
|
27 |
26 |
$390.04 |
| 99462 |
|
51 |
39 |
$302.85 |
| 3075F |
|
59 |
55 |
$261.00 |
| 99460 |
|
14 |
14 |
$106.10 |
| 81002 |
|
32 |
30 |
$44.46 |
| 90656 |
|
93 |
93 |
$22.35 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
65 |
58 |
$0.00 |
| 90461 |
|
16 |
13 |
$0.00 |