| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,451 |
1,389 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
587 |
547 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
67 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
443 |
253 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
231 |
216 |
$2K |
| 99050 |
|
42 |
42 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$996.03 |
| 90461 |
|
27 |
24 |
$809.80 |
| 96160 |
|
26 |
25 |
$99.69 |
| 96127 |
|
13 |
13 |
$39.33 |