| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,963 |
1,889 |
$141K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
672 |
656 |
$74K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
399 |
388 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
329 |
325 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
161 |
161 |
$8K |
| 92552 |
|
302 |
269 |
$6K |
| 90658 |
|
420 |
408 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
466 |
431 |
$2K |
| 90688 |
|
158 |
150 |
$2K |
| 90734 |
|
77 |
76 |
$2K |
| 90700 |
|
135 |
131 |
$2K |
| 90633 |
|
106 |
104 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$1K |
| 90716 |
|
100 |
97 |
$1K |
| 90713 |
|
80 |
77 |
$985.97 |
| 90619 |
|
40 |
40 |
$808.29 |
| 99173 |
|
338 |
298 |
$807.25 |
| 90707 |
|
65 |
63 |
$773.37 |
| 90715 |
|
39 |
38 |
$601.14 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$538.17 |
| 96127 |
|
78 |
76 |
$332.02 |
| 90670 |
|
26 |
26 |
$312.60 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
33 |
25 |
$211.80 |
| 90698 |
|
13 |
13 |
$164.43 |
| 90744 |
|
14 |
14 |
$161.30 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |
| 83655 |
|
13 |
13 |
$0.00 |
| D1310 |
|
14 |
14 |
$0.00 |