| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,241 |
3,090 |
$148K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
974 |
840 |
$35K |
| 99401 |
|
1,431 |
1,197 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
186 |
186 |
$11K |
| 93000 |
|
686 |
673 |
$9K |
| 94010 |
|
370 |
359 |
$8K |
| 98928 |
|
434 |
155 |
$7K |
| 97124 |
|
120 |
44 |
$916.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
120 |
44 |
$858.49 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$550.00 |
| 97032 |
|
119 |
43 |
$488.20 |
| 90688 |
|
13 |
13 |
$185.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$134.35 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
32 |
$98.02 |
| 17111 |
|
38 |
38 |
$74.72 |
| 99072 |
|
16 |
16 |
$0.00 |