| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,237 |
11,326 |
$625K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,397 |
3,817 |
$278K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,035 |
1,007 |
$76K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
471 |
463 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
321 |
310 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
129 |
73 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
128 |
121 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
340 |
288 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
160 |
147 |
$4K |
| 96127 |
|
268 |
259 |
$4K |
| 0011A |
|
77 |
61 |
$3K |
| 0012A |
|
60 |
51 |
$3K |
| 90734 |
|
102 |
93 |
$1K |
| 90649 |
|
65 |
53 |
$704.60 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$690.00 |
| 90633 |
|
48 |
42 |
$638.89 |
| 90656 |
|
101 |
81 |
$517.50 |
| 97802 |
|
87 |
84 |
$263.88 |
| 90621 |
|
14 |
14 |
$233.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
132 |
113 |
$98.42 |