| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,007 |
15,661 |
$978K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,711 |
1,528 |
$120K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,648 |
2,333 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
525 |
449 |
$44K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
843 |
766 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
164 |
137 |
$14K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
161 |
150 |
$7K |
| 90710 |
|
34 |
14 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
28 |
$3K |
| 90686 |
|
353 |
306 |
$3K |
| 96127 |
|
43 |
41 |
$711.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
20 |
$687.94 |
| 90670 |
|
179 |
161 |
$242.36 |
| 90723 |
|
63 |
51 |
$98.81 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
16 |
13 |
$94.75 |
| 90685 |
|
22 |
15 |
$45.92 |
| 90648 |
|
164 |
146 |
$20.53 |
| 90697 |
|
12 |
12 |
$0.00 |