| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
823 |
723 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
610 |
578 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,213 |
1,165 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
142 |
141 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
44 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$2K |
| 90686 |
|
130 |
126 |
$1K |
| 90461 |
|
52 |
52 |
$651.87 |
| 99051 |
|
205 |
181 |
$190.81 |
| 97804 |
|
33 |
33 |
$23.85 |
| 90688 |
|
14 |
12 |
$12.67 |