| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,096 |
13,545 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
397 |
397 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
213 |
213 |
$18K |
| 90686 |
|
1,068 |
1,068 |
$13K |
| 90656 |
|
745 |
742 |
$11K |
| 99173 |
|
1,291 |
1,287 |
$7K |
| 99215 |
Prolong outpt/office vis |
305 |
300 |
$5K |
| 90674 |
|
302 |
302 |
$5K |
| 85018 |
|
1,387 |
1,385 |
$3K |
| 81002 |
|
1,263 |
1,262 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
902 |
862 |
$2K |
| 90732 |
|
94 |
94 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$617.40 |
| 92557 |
|
1,223 |
1,219 |
$199.80 |
| G0008 |
Administration of influenza virus vaccine |
762 |
762 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
71 |
71 |
$0.00 |