| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,981 |
3,425 |
$213K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,911 |
1,638 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
142 |
138 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
149 |
141 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$745.30 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
12 |
$713.52 |
| 90686 |
|
13 |
12 |
$40.77 |