| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,203 |
2,939 |
$515K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,981 |
2,720 |
$427K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
164 |
164 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
64 |
64 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
43 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
36 |
36 |
$5K |
| 99000 |
|
38 |
38 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$2K |