| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,124 |
3,806 |
$787K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,245 |
1,243 |
$197K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
942 |
942 |
$159K |
| 99460 |
|
688 |
688 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
668 |
658 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
491 |
491 |
$82K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
638 |
638 |
$78K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,419 |
1,413 |
$52K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,554 |
2,530 |
$47K |
| 99462 |
|
453 |
453 |
$38K |
| 99215 |
Prolong outpt/office vis |
139 |
134 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
124 |
123 |
$23K |
| 54150 |
|
64 |
64 |
$10K |
| 96161 |
|
1,674 |
1,563 |
$8K |
| 99383 |
|
12 |
12 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
61 |
60 |
$2K |
| 90686 |
|
746 |
745 |
$2.00 |
| 90723 |
|
697 |
697 |
$0.00 |
| 90647 |
|
641 |
641 |
$0.00 |
| 90677 |
|
146 |
146 |
$0.00 |
| 90660 |
|
18 |
18 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90670 |
|
728 |
728 |
$0.00 |
| 90710 |
|
148 |
148 |
$0.00 |
| 96160 |
|
993 |
992 |
$0.00 |
| 90681 |
|
320 |
320 |
$0.00 |
| 90633 |
|
147 |
147 |
$0.00 |
| 90672 |
|
55 |
55 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |