| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
426 |
413 |
$13K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
154 |
151 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
73 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
667 |
648 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
176 |
176 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
787 |
783 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
191 |
190 |
$4K |
| 93320 |
|
153 |
150 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
75 |
69 |
$801.13 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
86 |
86 |
$770.89 |
| 90461 |
|
160 |
160 |
$687.91 |
| 93325 |
|
201 |
191 |
$681.81 |
| 90686 |
|
143 |
142 |
$0.00 |