| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,257 |
2,093 |
$479K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
947 |
889 |
$206K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
573 |
572 |
$141K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
514 |
506 |
$119K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
366 |
357 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
224 |
223 |
$53K |
| 99382 |
|
162 |
158 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
138 |
136 |
$26K |
| 99383 |
|
94 |
92 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
69 |
$15K |
| 99384 |
|
61 |
61 |
$12K |
| 99381 |
|
59 |
58 |
$11K |
| 90834 |
Psychotherapy, 45 minutes with patient |
47 |
41 |
$7K |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$828.76 |
| 87428 |
|
29 |
27 |
$62.47 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
54 |
53 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
50 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |