| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,830 |
10,313 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,694 |
2,619 |
$57K |
| 92552 |
|
3,302 |
3,287 |
$54K |
| 99215 |
Prolong outpt/office vis |
4,427 |
4,256 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
535 |
534 |
$17K |
| 99205 |
Prolong outpt/office vis |
175 |
173 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,696 |
1,654 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,614 |
3,589 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,281 |
3,272 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,793 |
2,786 |
$4K |
| 0071A |
|
64 |
62 |
$2K |
| 0072A |
|
64 |
62 |
$2K |
| 99381 |
|
53 |
53 |
$2K |
| 97802 |
|
4,345 |
4,312 |
$850.53 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,682 |
1,646 |
$627.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,257 |
5,183 |
$452.07 |
| 90686 |
|
35 |
35 |
$353.23 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
74 |
73 |
$257.74 |
| 99441 |
|
404 |
369 |
$222.75 |
| 99442 |
|
73 |
69 |
$188.10 |
| 99383 |
|
94 |
91 |
$131.28 |
| 90648 |
|
16 |
16 |
$126.00 |
| 90670 |
|
17 |
17 |
$126.00 |
| 90700 |
|
17 |
17 |
$126.00 |
| 90713 |
|
16 |
16 |
$126.00 |
| 90680 |
|
14 |
14 |
$126.00 |
| 99384 |
|
12 |
12 |
$0.00 |