| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,841 |
3,249 |
$195K |
| 97802 |
|
806 |
804 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
832 |
773 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
237 |
236 |
$22K |
| 92552 |
|
1,003 |
1,003 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
195 |
195 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
154 |
154 |
$11K |
| 92081 |
|
249 |
248 |
$10K |
| 90621 |
|
425 |
425 |
$7K |
| 90656 |
|
356 |
356 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
67 |
67 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
101 |
100 |
$2K |
| 99442 |
|
56 |
56 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
265 |
261 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
77 |
77 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
73 |
71 |
$1K |
| 86580 |
|
245 |
244 |
$1K |
| 90649 |
|
70 |
70 |
$699.00 |
| 90734 |
|
26 |
26 |
$260.00 |
| 90715 |
|
14 |
14 |
$140.00 |
| 90686 |
|
14 |
14 |
$140.00 |
| 90700 |
|
12 |
12 |
$120.00 |