| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,287 |
2,014 |
$74.64 |
| 92552 |
|
161 |
160 |
$0.00 |
| 99173 |
|
133 |
133 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$0.00 |
| 90648 |
|
40 |
40 |
$0.00 |
| 85014 |
|
234 |
233 |
$0.00 |
| 81002 |
|
139 |
138 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
102 |
82 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
34 |
34 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
67 |
45 |
$0.00 |
| 90670 |
|
41 |
41 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$0.00 |
| 83655 |
|
17 |
17 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,178 |
1,900 |
$0.00 |
| 92499 |
|
17 |
16 |
$0.00 |
| 90686 |
|
165 |
165 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
202 |
189 |
$0.00 |
| 90723 |
|
24 |
24 |
$0.00 |