| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,915 |
2,669 |
$201K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,580 |
2,399 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
575 |
570 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
569 |
566 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
237 |
236 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
195 |
194 |
$22K |
| 99080 |
|
537 |
518 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
432 |
409 |
$7K |
| 99499 |
|
305 |
257 |
$6K |
| 90688 |
|
275 |
272 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 90686 |
|
105 |
104 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 90670 |
|
51 |
51 |
$811.01 |
| 96127 |
|
172 |
172 |
$729.00 |
| 92552 |
|
43 |
41 |
$370.40 |
| 90698 |
|
24 |
24 |
$297.78 |
| 99173 |
|
46 |
44 |
$297.00 |
| 90716 |
|
13 |
13 |
$155.98 |