| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,321 |
6,148 |
$558K |
| 99215 |
Prolong outpt/office vis |
5,811 |
4,503 |
$512K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,648 |
3,297 |
$166K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
535 |
531 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
469 |
462 |
$33K |
| 92567 |
|
2,140 |
1,793 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
139 |
138 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
162 |
157 |
$3K |
| 3008F |
|
228 |
228 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$966.93 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$808.45 |
| 97802 |
|
13 |
13 |
$0.00 |