| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,214 |
13,430 |
$663K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,214 |
8,872 |
$660K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,439 |
9,509 |
$264K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,735 |
3,530 |
$235K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,401 |
2,601 |
$176K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,262 |
2,399 |
$174K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,896 |
1,903 |
$128K |
| 99051 |
|
3,217 |
2,959 |
$50K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,297 |
3,436 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,249 |
776 |
$47K |
| 92551 |
|
9,996 |
7,318 |
$25K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,779 |
2,308 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
268 |
195 |
$12K |
| 99173 |
|
9,821 |
7,215 |
$11K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,031 |
731 |
$8K |
| 69210 |
|
27 |
26 |
$500.00 |
| 96160 |
|
31 |
16 |
$76.98 |
| 90697 |
|
794 |
480 |
$0.00 |
| 90698 |
|
1,214 |
1,086 |
$0.00 |
| 90744 |
|
257 |
251 |
$0.00 |
| 90680 |
|
764 |
540 |
$0.00 |
| 90634 |
|
1,827 |
1,293 |
$0.00 |
| 90696 |
|
195 |
134 |
$0.00 |
| 90716 |
|
25 |
12 |
$0.00 |
| 90656 |
|
75 |
74 |
$0.00 |
| 91301 |
|
23 |
19 |
$0.00 |
| 90710 |
|
1,050 |
752 |
$0.00 |
| 90649 |
|
1,422 |
1,048 |
$0.00 |
| 90734 |
|
1,082 |
825 |
$0.00 |
| 90670 |
|
2,184 |
1,581 |
$0.00 |
| 90715 |
|
365 |
257 |
$0.00 |
| 90621 |
|
650 |
503 |
$0.00 |
| 90700 |
|
28 |
27 |
$0.00 |