| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,105 |
9,887 |
$731K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,445 |
1,383 |
$142K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
283 |
283 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
205 |
205 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
113 |
113 |
$11K |
| 90682 |
|
112 |
111 |
$7K |
| 99443 |
|
21 |
18 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
294 |
288 |
$2K |
| 90686 |
|
77 |
77 |
$1K |
| 99406 |
|
140 |
134 |
$720.23 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$281.04 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$214.20 |