| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,589 |
1,405 |
$111K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
479 |
433 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
397 |
379 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
277 |
173 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
748 |
434 |
$2K |
| 90461 |
|
14 |
13 |
$280.48 |
| 90700 |
|
13 |
13 |
$0.00 |