| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,587 |
7,627 |
$865K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,022 |
1,867 |
$120K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
347 |
336 |
$30K |
| 99215 |
Prolong outpt/office vis |
227 |
199 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
356 |
318 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
109 |
106 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,691 |
2,560 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$3K |
| 81002 |
|
1,122 |
953 |
$2K |
| 90461 |
|
763 |
719 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 82947 |
|
1,158 |
1,094 |
$1K |
| 85014 |
|
1,220 |
1,164 |
$758.43 |
| 90688 |
|
1,109 |
1,064 |
$544.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$334.96 |
| 90670 |
|
106 |
90 |
$302.81 |
| 91300 |
|
52 |
44 |
$262.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
71 |
62 |
$181.61 |
| 91307 |
|
65 |
57 |
$160.00 |
| 0071A |
|
31 |
31 |
$0.00 |
| 90687 |
|
31 |
30 |
$0.00 |
| 90671 |
|
27 |
27 |
$0.00 |
| 90686 |
|
32 |
32 |
$0.00 |
| 90698 |
|
62 |
52 |
$0.00 |
| 90680 |
|
32 |
26 |
$0.00 |
| 90651 |
|
28 |
28 |
$0.00 |
| 0072A |
|
12 |
12 |
$0.00 |