| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,074 |
1,825 |
$185K |
| 99215 |
Prolong outpt/office vis |
1,244 |
1,012 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,609 |
1,434 |
$105K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
169 |
152 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
140 |
124 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
79 |
61 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
345 |
291 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
25 |
$2K |
| 90461 |
|
48 |
40 |
$649.49 |
| 90686 |
|
38 |
34 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 90672 |
|
19 |
17 |
$0.00 |