| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,314 |
1,978 |
$146K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,707 |
2,549 |
$141K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,401 |
1,278 |
$117K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,083 |
1,028 |
$100K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,238 |
1,133 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
480 |
457 |
$44K |
| 99188 |
|
1,486 |
1,435 |
$17K |
| 99070 |
|
2,497 |
2,243 |
$13K |
| 99460 |
|
345 |
222 |
$13K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
316 |
207 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
61 |
61 |
$6K |
| 92567 |
|
230 |
205 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
15 |
$1K |
| 99463 |
|
17 |
12 |
$334.59 |
| 90707 |
|
414 |
386 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |
| 90685 |
|
525 |
496 |
$0.00 |
| 90713 |
|
381 |
360 |
$0.00 |
| 90700 |
|
632 |
601 |
$0.00 |
| 90670 |
|
1,018 |
957 |
$0.00 |
| 90633 |
|
474 |
445 |
$0.00 |
| 90648 |
|
965 |
907 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90686 |
|
422 |
405 |
$0.00 |
| 90723 |
|
331 |
310 |
$0.00 |
| 90744 |
|
252 |
241 |
$0.00 |
| 90716 |
|
374 |
353 |
$0.00 |
| 90651 |
|
48 |
48 |
$0.00 |
| 90680 |
|
668 |
637 |
$0.00 |
| 90696 |
|
99 |
91 |
$0.00 |
| 90660 |
|
134 |
133 |
$0.00 |