| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,317 |
2,207 |
$226K |
| 90461 |
|
2,362 |
2,348 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
487 |
476 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,449 |
3,428 |
$67K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,374 |
1,340 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
208 |
208 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
165 |
165 |
$16K |
| 0002A |
|
362 |
362 |
$14K |
| 0001A |
|
356 |
355 |
$14K |
| 86580 |
|
1,162 |
1,159 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
196 |
191 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
48 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
65 |
65 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
287 |
287 |
$6K |
| 0071A |
|
103 |
103 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
38 |
38 |
$3K |
| 0072A |
|
80 |
80 |
$3K |
| 0004A |
|
79 |
79 |
$3K |
| 0124A |
|
76 |
76 |
$3K |
| 99383 |
|
15 |
15 |
$2K |
| 0012A |
|
34 |
34 |
$1K |
| 0003A |
|
28 |
28 |
$1K |
| 82962 |
|
228 |
221 |
$744.56 |
| 0134A |
|
13 |
13 |
$520.00 |
| 0064A |
|
12 |
12 |
$480.00 |