| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99050 |
|
5,508 |
4,916 |
$209K |
| 96160 |
|
5,417 |
5,230 |
$133K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,153 |
41,260 |
$56K |
| 99441 |
|
680 |
646 |
$3K |
| 99442 |
|
621 |
574 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,303 |
2,611 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,902 |
1,788 |
$1K |
| 99422 |
|
198 |
198 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
646 |
519 |
$923.91 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,128 |
4,181 |
$876.53 |
| 96127 |
|
32,378 |
26,632 |
$538.47 |
| 99201 |
|
226 |
224 |
$475.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,893 |
1,557 |
$331.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$52.00 |
| 99243 |
|
452 |
390 |
$50.00 |
| 99443 |
|
30 |
29 |
$40.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
451 |
436 |
$18.48 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
306 |
267 |
$2.00 |
| 3075F |
|
7,691 |
6,888 |
$0.00 |
| 1036F |
|
1,470 |
1,304 |
$0.00 |
| 1157F |
|
50,339 |
40,668 |
$0.00 |
| 3074F |
|
32,916 |
28,138 |
$0.00 |
| 1031F |
|
18,271 |
15,816 |
$0.00 |
| 1035F |
|
7,039 |
5,704 |
$0.00 |
| 1125F |
|
8,290 |
7,041 |
$0.00 |
| 3008F |
|
45,059 |
37,177 |
$0.00 |
| 3049F |
|
54 |
53 |
$0.00 |
| 1126F |
|
34,818 |
29,527 |
$0.00 |
| 3079F |
|
10,326 |
9,354 |
$0.00 |
| 1170F |
|
5,896 |
5,091 |
$0.00 |
| 3080F |
|
2,487 |
2,290 |
$0.00 |
| 3048F |
|
182 |
180 |
$0.00 |
| 1111F |
|
590 |
566 |
$0.00 |
| 3017F |
|
234 |
233 |
$0.00 |
| 4000F |
|
963 |
893 |
$0.00 |
| 3044F |
|
68 |
68 |
$0.00 |
| 99383 |
|
14 |
14 |
$0.00 |
| 3078F |
|
32,164 |
27,553 |
$0.00 |
| 1158F |
|
2,323 |
2,037 |
$0.00 |
| 1160F |
|
2,347 |
2,096 |
$0.00 |
| 1159F |
|
2,667 |
2,374 |
$0.00 |
| 3077F |
|
4,611 |
4,156 |
$0.00 |
| 3725F |
|
35,724 |
29,252 |
$0.00 |
| 1090F |
|
655 |
607 |
$0.00 |
| 0521F |
|
380 |
354 |
$0.00 |
| 1032F |
|
335 |
322 |
$0.00 |
| 3050F |
|
397 |
376 |
$0.00 |
| 4004F |
|
822 |
759 |
$0.00 |
| 3015F |
|
112 |
112 |
$0.00 |