| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,002 |
2,351 |
$246K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,639 |
3,376 |
$231K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,712 |
5,647 |
$72K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,202 |
1,617 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
542 |
383 |
$38K |
| 96160 |
|
7,605 |
6,255 |
$24K |
| 96127 |
|
4,146 |
3,173 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
480 |
320 |
$8K |
| 85018 |
|
4,645 |
3,563 |
$8K |
| 81002 |
|
4,319 |
3,232 |
$7K |
| 92551 |
|
4,118 |
3,152 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
59 |
45 |
$4K |
| 99384 |
|
53 |
39 |
$4K |
| 99173 |
|
4,153 |
3,183 |
$3K |
| 94760 |
|
14,484 |
9,223 |
$2K |
| 90619 |
|
115 |
112 |
$2K |
| 94150 |
|
160 |
133 |
$2K |
| 94664 |
|
144 |
116 |
$1K |
| 99201 |
|
32 |
31 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
12 |
$389.22 |
| 90734 |
|
916 |
642 |
$285.69 |
| 90649 |
|
388 |
318 |
$268.74 |
| 80061 |
Lipid panel |
18 |
13 |
$165.30 |
| 90658 |
|
261 |
200 |
$118.70 |
| 90686 |
|
14 |
14 |
$58.11 |
| 90715 |
|
171 |
126 |
$46.50 |
| 99401 |
|
20 |
16 |
$0.00 |
| 90651 |
|
13 |
12 |
$0.00 |