| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,277 |
10,816 |
$569K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,927 |
1,870 |
$129K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,817 |
1,722 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,595 |
1,426 |
$96K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,222 |
1,180 |
$90K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,916 |
2,781 |
$80K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,855 |
4,535 |
$66K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,641 |
2,520 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
221 |
207 |
$23K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
114 |
110 |
$6K |
| 99460 |
|
102 |
98 |
$4K |
| 90474 |
|
302 |
284 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$989.87 |
| 82947 |
|
40 |
39 |
$144.67 |
| 85018 |
|
49 |
38 |
$56.84 |
| 90686 |
|
763 |
717 |
$56.25 |
| 81002 |
|
12 |
12 |
$30.44 |
| 90677 |
|
52 |
45 |
$5.05 |
| 90633 |
|
476 |
448 |
$0.89 |
| 90670 |
|
782 |
721 |
$0.25 |
| 90619 |
|
129 |
117 |
$0.00 |
| 90698 |
|
193 |
180 |
$0.00 |
| 90680 |
|
304 |
275 |
$0.00 |
| 90744 |
|
52 |
49 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 90649 |
|
220 |
205 |
$0.00 |
| 90734 |
|
120 |
115 |
$0.00 |
| 90648 |
|
53 |
51 |
$0.00 |
| 90710 |
|
51 |
44 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90715 |
|
52 |
52 |
$0.00 |
| 90685 |
|
17 |
15 |
$0.00 |
| 91300 |
|
105 |
41 |
$0.00 |