| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,870 |
1,419 |
$103K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
691 |
522 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
364 |
336 |
$30K |
| 90461 |
|
566 |
513 |
$29K |
| 99173 |
|
715 |
682 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
242 |
229 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
959 |
870 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
196 |
194 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
194 |
171 |
$16K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
39 |
37 |
$4K |
| 99460 |
|
37 |
37 |
$2K |
| 81002 |
|
734 |
691 |
$2K |
| 90680 |
|
204 |
182 |
$0.00 |
| 90657 |
|
141 |
133 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90723 |
|
26 |
25 |
$0.00 |
| 90670 |
|
276 |
252 |
$0.00 |
| 90648 |
|
159 |
145 |
$0.00 |
| 90649 |
|
14 |
14 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 90658 |
|
107 |
106 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |