| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,802 |
6,603 |
$780K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,851 |
1,545 |
$193K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
483 |
480 |
$54K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
452 |
451 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
146 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
105 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
129 |
127 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$569.64 |
| 90658 |
|
12 |
12 |
$0.00 |