| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,738 |
6,257 |
$204K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,285 |
2,263 |
$199K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,869 |
3,666 |
$183K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,768 |
1,736 |
$156K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,660 |
1,615 |
$143K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,098 |
1,077 |
$96K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,688 |
3,639 |
$50K |
| 90670 |
|
1,201 |
1,186 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
235 |
198 |
$10K |
| 99381 |
|
31 |
14 |
$4K |
| 99215 |
Prolong outpt/office vis |
54 |
51 |
$3K |
| 90715 |
|
73 |
72 |
$589.46 |
| 90716 |
|
606 |
592 |
$491.49 |
| 90686 |
|
198 |
197 |
$235.94 |
| 90700 |
|
633 |
621 |
$91.56 |
| 90707 |
|
618 |
602 |
$70.92 |
| 90633 |
|
509 |
501 |
$34.85 |
| 90723 |
|
404 |
399 |
$20.00 |
| 90685 |
|
16 |
16 |
$10.00 |
| 90698 |
|
66 |
65 |
$0.00 |
| 90681 |
|
417 |
412 |
$0.00 |
| 90648 |
|
833 |
828 |
$0.00 |
| 90713 |
|
199 |
192 |
$0.00 |
| 90671 |
|
29 |
26 |
$0.00 |