| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,044 |
1,896 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,690 |
2,234 |
$99K |
| 0011A |
|
105 |
86 |
$4K |
| 0012A |
|
84 |
82 |
$3K |
| 90686 |
|
124 |
94 |
$2K |
| 0001A |
|
66 |
44 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
21 |
$2K |
| 0002A |
|
40 |
29 |
$2K |
| 0031A |
|
36 |
33 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
27 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$938.96 |
| 0072A |
|
13 |
12 |
$589.52 |
| 0064A |
|
12 |
12 |
$573.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$0.00 |