| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,754 |
4,801 |
$526K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
621 |
488 |
$70K |
| 92568 |
|
2,389 |
2,070 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
152 |
145 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
131 |
117 |
$12K |
| 90688 |
|
197 |
175 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
29 |
$3K |
| 87084 |
|
295 |
274 |
$1K |
| 90713 |
|
63 |
53 |
$1K |
| 90700 |
|
63 |
52 |
$1K |
| 99173 |
|
469 |
443 |
$1K |
| 85014 |
|
504 |
489 |
$442.70 |
| 99080 |
|
244 |
124 |
$400.00 |
| 87070 |
|
192 |
180 |
$304.56 |
| 81000 |
|
298 |
278 |
$188.80 |
| 82948 |
|
237 |
227 |
$172.43 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
552 |
249 |
$64.69 |
| 99000 |
|
158 |
142 |
$0.00 |
| 36416 |
|
58 |
53 |
$0.00 |