| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,265 |
1,140 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
893 |
783 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
39 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
240 |
230 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
189 |
175 |
$2K |
| 90633 |
|
182 |
176 |
$2K |
| 90686 |
|
130 |
123 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
17 |
12 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
107 |
98 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
13 |
$936.73 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
13 |
$589.15 |
| 90651 |
|
19 |
16 |
$480.80 |
| 90461 |
|
59 |
57 |
$422.56 |
| 82043 |
|
13 |
13 |
$103.09 |
| 81003 |
|
18 |
14 |
$32.00 |
| 2014F |
|
36 |
34 |
$0.00 |
| 1160F |
|
13 |
13 |
$0.00 |
| 3008F |
|
118 |
114 |
$0.00 |