| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
995 |
873 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
592 |
524 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
282 |
241 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
176 |
172 |
$16K |
| 99215 |
Prolong outpt/office vis |
34 |
33 |
$5K |
| 99177 |
|
220 |
212 |
$575.25 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
213 |
198 |
$563.78 |
| 90677 |
|
56 |
53 |
$513.13 |
| 99174 |
|
15 |
15 |
$39.71 |
| 90656 |
|
13 |
13 |
$34.06 |
| 90680 |
|
14 |
13 |
$26.20 |