| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,047 |
15,471 |
$232K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
834 |
826 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
689 |
679 |
$21K |
| 92551 |
|
3,774 |
3,774 |
$20K |
| 85018 |
|
6,325 |
6,228 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
24 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
133 |
131 |
$5K |
| 3074F |
|
3,247 |
2,972 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
840 |
809 |
$3K |
| 90686 |
|
405 |
405 |
$3K |
| 3078F |
|
3,047 |
2,788 |
$3K |
| 99462 |
|
93 |
53 |
$3K |
| 99383 |
|
24 |
14 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,068 |
987 |
$2K |
| 3079F |
|
1,311 |
1,224 |
$2K |
| 81000 |
|
1,408 |
1,404 |
$2K |
| 90651 |
|
178 |
178 |
$2K |
| 99460 |
|
33 |
33 |
$2K |
| 99000 |
|
1,546 |
1,512 |
$1K |
| 92552 |
|
137 |
137 |
$1K |
| 90734 |
|
147 |
147 |
$756.00 |
| 99188 |
|
65 |
65 |
$506.82 |
| 81002 |
|
2,889 |
2,824 |
$466.82 |
| 3075F |
|
394 |
380 |
$432.00 |
| 3077F |
|
775 |
699 |
$342.00 |
| 90633 |
|
25 |
25 |
$171.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$129.90 |
| 90658 |
|
54 |
54 |
$117.00 |
| 90715 |
|
26 |
26 |
$99.00 |
| 90620 |
|
54 |
54 |
$99.00 |
| 90648 |
|
15 |
15 |
$63.00 |
| 81003 |
|
54 |
54 |
$60.45 |
| 90670 |
|
14 |
14 |
$54.00 |
| 86580 |
|
14 |
14 |
$36.63 |
| 81025 |
|
12 |
12 |
$27.13 |
| 3080F |
|
74 |
68 |
$9.00 |
| 90461 |
|
140 |
140 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
14 |
$0.00 |