| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,535 |
2,041 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
792 |
691 |
$46K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,343 |
1,207 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
228 |
218 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
162 |
156 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
873 |
799 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
159 |
148 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
137 |
130 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
75 |
74 |
$6K |
| 99460 |
|
119 |
115 |
$5K |
| 99462 |
|
62 |
44 |
$1K |
| 99050 |
|
82 |
76 |
$1K |
| 96127 |
|
139 |
137 |
$580.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$382.31 |
| 90474 |
|
27 |
27 |
$246.51 |
| 99051 |
|
12 |
12 |
$195.42 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
94 |
83 |
$29.64 |
| 94760 |
|
556 |
528 |
$15.33 |
| 90670 |
|
422 |
389 |
$0.00 |
| 90756 |
|
56 |
19 |
$0.00 |
| 90633 |
|
25 |
24 |
$0.00 |
| 90734 |
|
17 |
16 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 90686 |
|
89 |
87 |
$0.00 |
| 90647 |
|
115 |
111 |
$0.00 |
| 90680 |
|
27 |
27 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |