| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68 |
61 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$982.75 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$873.18 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
44 |
18 |
$235.16 |
| 96160 |
|
13 |
13 |
$21.03 |