| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,440 |
4,189 |
$133K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,147 |
5,016 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,159 |
2,090 |
$104K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,314 |
1,312 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
941 |
937 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
931 |
927 |
$56K |
| 90461 |
|
1,190 |
1,152 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
160 |
160 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
340 |
331 |
$6K |
| 99205 |
Prolong outpt/office vis |
51 |
51 |
$6K |
| 90686 |
|
1,032 |
1,022 |
$4K |
| 99460 |
|
44 |
44 |
$4K |
| 90734 |
|
99 |
99 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
45 |
45 |
$2K |
| 99462 |
|
65 |
44 |
$2K |
| 90677 |
|
13 |
13 |
$1K |
| 90651 |
|
12 |
12 |
$862.62 |
| 90674 |
|
117 |
116 |
$735.46 |
| 90661 |
|
45 |
45 |
$551.65 |
| 90670 |
|
60 |
59 |
$484.42 |
| 90656 |
|
48 |
47 |
$399.92 |
| 90716 |
|
15 |
14 |
$302.46 |
| 90633 |
|
148 |
141 |
$210.58 |
| 90715 |
|
13 |
13 |
$118.65 |
| 90713 |
|
14 |
14 |
$81.28 |
| 90648 |
|
12 |
12 |
$0.00 |
| 0072A |
|
18 |
18 |
$0.00 |
| 91307 |
|
22 |
20 |
$0.00 |