| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,119 |
5,610 |
$1.74M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,035 |
2,751 |
$600K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
86 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
53 |
$16K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
170 |
131 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
45 |
43 |
$4K |
| 87430 |
|
18 |
18 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |