| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,174 |
9,474 |
$1.15M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,329 |
2,204 |
$213K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,147 |
2,083 |
$199K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,834 |
1,488 |
$149K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,513 |
1,354 |
$108K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,104 |
1,084 |
$107K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,470 |
1,424 |
$10K |
| 90670 |
|
297 |
264 |
$508.44 |
| 90716 |
|
73 |
71 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90696 |
|
31 |
28 |
$0.00 |
| 90680 |
|
26 |
24 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |
| 90697 |
|
14 |
13 |
$0.00 |
| 90633 |
|
26 |
26 |
$0.00 |
| 90707 |
|
62 |
59 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |