| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,386 |
1,183 |
$66K |
| 99215 |
Prolong outpt/office vis |
889 |
765 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
674 |
602 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
821 |
716 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
248 |
240 |
$14K |
| 99219 |
|
222 |
222 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
140 |
137 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
99 |
95 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
138 |
136 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
104 |
104 |
$6K |
| 99460 |
|
70 |
70 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
38 |
$3K |
| 90461 |
|
107 |
98 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
28 |
$2K |
| 99220 |
|
25 |
25 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
30 |
13 |
$912.10 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$823.17 |
| 99217 |
|
43 |
43 |
$782.18 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
38 |
38 |
$772.71 |
| 20610 |
|
14 |
12 |
$597.06 |
| 99462 |
|
21 |
20 |
$519.67 |