| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,823 |
2,412 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,548 |
1,370 |
$106K |
| 80305 |
|
3,569 |
3,081 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
214 |
209 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
165 |
164 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
157 |
155 |
$5K |
| 99384 |
|
27 |
27 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$560.87 |
| 81025 |
|
71 |
70 |
$445.56 |
| 96127 |
|
68 |
68 |
$102.25 |
| 84702 |
|
30 |
24 |
$71.10 |
| 90686 |
|
12 |
12 |
$23.47 |