| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,563 |
2,311 |
$234K |
| 99443 |
|
654 |
609 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
530 |
489 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
263 |
232 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
177 |
177 |
$17K |
| 90461 |
|
317 |
314 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
643 |
629 |
$14K |
| 99442 |
|
85 |
82 |
$8K |
| 99385 |
|
17 |
16 |
$3K |
| S9999 |
Sales tax |
197 |
161 |
$3K |
| 99080 |
|
227 |
218 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 90672 |
|
21 |
21 |
$560.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
27 |
$504.88 |