| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,825 |
14,498 |
$803K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,523 |
3,017 |
$225K |
| 99442 |
|
2,341 |
2,003 |
$102K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,872 |
2,499 |
$84K |
| 99443 |
|
473 |
404 |
$32K |
| 99385 |
|
247 |
220 |
$21K |
| 99386 |
|
138 |
131 |
$14K |
| 90674 |
|
1,045 |
545 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
399 |
333 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
46 |
$5K |
| 99215 |
Prolong outpt/office vis |
63 |
61 |
$4K |
| 0031A |
|
92 |
89 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 0011A |
|
32 |
25 |
$960.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
87 |
82 |
$0.00 |
| 91301 |
|
71 |
70 |
$0.00 |
| 91303 |
|
89 |
89 |
$0.00 |
| 0012A |
|
28 |
14 |
$0.00 |