| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,911 |
5,246 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,519 |
1,509 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,574 |
1,572 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
404 |
398 |
$11K |
| 92552 |
|
2,368 |
2,365 |
$11K |
| 92551 |
|
1,428 |
1,426 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
75 |
75 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
579 |
552 |
$4K |
| 86580 |
|
1,422 |
1,420 |
$3K |
| 90700 |
|
427 |
425 |
$2K |
| 90686 |
|
725 |
723 |
$2K |
| 90713 |
|
387 |
385 |
$2K |
| 85018 |
|
1,437 |
1,430 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
245 |
244 |
$1K |
| 81007 |
|
468 |
468 |
$1K |
| 92081 |
|
819 |
816 |
$1K |
| 83026 |
|
553 |
553 |
$1K |
| 99173 |
|
1,072 |
1,071 |
$1K |
| 81000 |
|
795 |
793 |
$1K |
| 90647 |
|
160 |
159 |
$1K |
| 90651 |
|
224 |
223 |
$809.20 |
| 90670 |
|
133 |
133 |
$783.00 |
| 92060 |
|
666 |
664 |
$629.51 |
| 90734 |
|
233 |
232 |
$489.60 |
| 99215 |
Prolong outpt/office vis |
63 |
63 |
$483.29 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
46 |
46 |
$312.80 |
| 90658 |
|
110 |
110 |
$305.55 |
| 99188 |
|
122 |
122 |
$267.99 |
| 90744 |
|
39 |
39 |
$225.00 |
| 90620 |
|
96 |
96 |
$165.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$153.32 |
| 90680 |
|
29 |
29 |
$153.00 |
| 90716 |
|
68 |
68 |
$144.00 |
| 90707 |
|
54 |
54 |
$126.00 |
| 90715 |
|
14 |
14 |
$63.00 |
| 90619 |
|
13 |
13 |
$27.00 |
| 96127 |
|
35 |
35 |
$4.76 |
| 90461 |
|
42 |
42 |
$0.00 |
| 90649 |
|
25 |
25 |
$0.00 |