| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,138 |
1,054 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
852 |
805 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
183 |
179 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
79 |
68 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
92 |
81 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,240 |
1,160 |
$2K |
| 90473 |
|
183 |
158 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
702 |
654 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$930.71 |
| 90686 |
|
57 |
40 |
$134.14 |
| 90744 |
|
15 |
13 |
$28.00 |
| 90670 |
|
97 |
78 |
$20.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
486 |
474 |
$14.18 |
| S9451 |
Exercise classes, non-physician provider, per session |
486 |
474 |
$14.18 |
| S9449 |
Weight management classes, non-physician provider, per session |
482 |
471 |
$14.18 |
| 90474 |
|
26 |
25 |
$10.00 |
| 90698 |
|
31 |
26 |
$9.00 |
| 90716 |
|
14 |
13 |
$0.00 |
| 90680 |
|
13 |
12 |
$0.00 |
| 99173 |
|
582 |
537 |
$0.00 |
| 90633 |
|
45 |
43 |
$0.00 |
| 90707 |
|
26 |
24 |
$0.00 |