| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,421 |
2,764 |
$287K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
472 |
432 |
$43K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
165 |
153 |
$17K |
| 99307 |
|
487 |
446 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
217 |
187 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
85 |
$8K |
| W0037 |
|
911 |
911 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
51 |
48 |
$1K |
| 90686 |
|
50 |
50 |
$1K |
| 91307 |
|
14 |
12 |
$0.00 |
| 0002A |
|
13 |
13 |
$0.00 |