| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,563 |
1,375 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,905 |
1,316 |
$104K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
474 |
474 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,785 |
1,730 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
175 |
175 |
$15K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
38 |
38 |
$3K |
| 90671 |
|
25 |
25 |
$3K |
| 99460 |
|
39 |
39 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 90648 |
|
49 |
49 |
$56.20 |
| 90700 |
|
86 |
86 |
$0.00 |
| 90713 |
|
45 |
45 |
$0.00 |
| 90670 |
|
37 |
37 |
$0.00 |