| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,193 |
4,866 |
$255K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
528 |
444 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
63 |
$3K |
| 90686 |
|
110 |
87 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
23 |
20 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$922.08 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
32 |
18 |
$697.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
24 |
$26.00 |