| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
1,293 |
1,275 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,474 |
1,394 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
412 |
410 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,226 |
1,154 |
$29K |
| G9920 |
Screening performed and negative |
1,130 |
1,114 |
$29K |
| 92551 |
|
1,818 |
1,803 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
316 |
315 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
186 |
185 |
$10K |
| 96151 |
|
294 |
292 |
$7K |
| 90686 |
|
651 |
649 |
$6K |
| 96158 |
|
107 |
104 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
393 |
385 |
$5K |
| 96127 |
|
596 |
594 |
$2K |
| 99173 |
|
172 |
170 |
$603.78 |
| 90651 |
|
41 |
41 |
$369.00 |
| 90688 |
|
40 |
40 |
$360.00 |
| 96150 |
|
13 |
13 |
$302.38 |
| 90734 |
|
27 |
27 |
$261.00 |
| 90658 |
|
28 |
28 |
$252.00 |
| 90649 |
|
12 |
12 |
$108.00 |
| 90621 |
|
12 |
12 |
$108.00 |
| 86580 |
|
183 |
180 |
$7.91 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
12 |
$0.00 |
| 81001 |
|
182 |
179 |
$0.00 |