| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,043 |
3,359 |
$355K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,658 |
2,490 |
$261K |
| 94644 |
|
3,470 |
2,306 |
$101K |
| 92568 |
|
5,168 |
3,598 |
$45K |
| 92081 |
|
1,443 |
1,410 |
$39K |
| 87430 |
|
3,334 |
2,826 |
$13K |
| 81000 |
|
3,526 |
2,685 |
$10K |
| 92551 |
|
2,048 |
1,734 |
$9K |
| 93000 |
|
557 |
531 |
$6K |
| 86403 |
|
1,624 |
1,474 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
502 |
452 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
283 |
197 |
$2K |
| 86580 |
|
528 |
519 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90672 |
|
60 |
58 |
$507.22 |
| 94060 |
|
14 |
14 |
$454.72 |
| 90686 |
|
102 |
102 |
$416.31 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20 |
20 |
$100.00 |
| 90473 |
|
12 |
12 |
$50.00 |
| 91300 |
|
19 |
17 |
$0.00 |