| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,631 |
2,105 |
$115K |
| 0502F |
|
397 |
298 |
$18K |
| 90686 |
|
449 |
309 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
77 |
66 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
55 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18 |
13 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$343.95 |
| 96160 |
|
19 |
18 |
$241.19 |
| 81025 |
|
14 |
12 |
$14.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$0.00 |