| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,089 |
5,183 |
$230K |
| 59425 |
|
1,711 |
961 |
$81K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
994 |
859 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,147 |
1,008 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
269 |
241 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
995 |
877 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,778 |
1,567 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
28 |
$2K |
| 90686 |
|
352 |
293 |
$2K |
| 90670 |
|
455 |
402 |
$2K |
| 99219 |
|
17 |
14 |
$1K |
| 90632 |
|
15 |
12 |
$566.04 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
72 |
63 |
$389.01 |
| 81003 |
|
310 |
200 |
$331.58 |
| 99307 |
|
179 |
160 |
$294.11 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
26 |
$182.62 |
| 90680 |
|
113 |
111 |
$172.50 |
| 90633 |
|
59 |
50 |
$43.55 |
| 90648 |
|
41 |
39 |
$0.00 |
| 99490 |
Ccm add 20min |
36 |
36 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |
| 90723 |
|
41 |
39 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
29 |
$0.00 |