| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
761 |
587 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
722 |
596 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
372 |
312 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
615 |
364 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
90 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$1K |
| 99215 |
Prolong outpt/office vis |
18 |
13 |
$1K |
| 99381 |
|
13 |
13 |
$829.40 |
| 90680 |
|
211 |
201 |
$0.00 |
| 90744 |
|
169 |
163 |
$0.00 |
| 90698 |
|
305 |
292 |
$0.00 |
| 90716 |
|
20 |
19 |
$0.00 |
| 90633 |
|
32 |
32 |
$0.00 |
| 90670 |
|
268 |
258 |
$0.00 |
| 90707 |
|
34 |
33 |
$0.00 |