| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,919 |
4,705 |
$274K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
576 |
569 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
255 |
254 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
189 |
189 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
137 |
137 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
81 |
81 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
224 |
215 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
126 |
126 |
$4K |
| 92551 |
|
849 |
847 |
$4K |
| 83655 |
|
408 |
408 |
$3K |
| 99173 |
|
850 |
849 |
$2K |
| 90682 |
|
25 |
24 |
$782.00 |
| 90674 |
|
106 |
89 |
$352.00 |
| 90648 |
|
27 |
27 |
$297.00 |
| 90734 |
|
44 |
37 |
$297.00 |
| G0008 |
Administration of influenza virus vaccine |
33 |
27 |
$187.00 |
| 90670 |
|
14 |
14 |
$154.00 |
| 90677 |
|
12 |
12 |
$132.00 |
| 90715 |
|
18 |
13 |
$66.00 |
| 96127 |
|
116 |
116 |
$35.20 |
| 96160 |
|
99 |
99 |
$0.00 |
| 3078F |
|
117 |
113 |
$0.00 |