| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
59 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
156 |
156 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
38 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$828.88 |
| 90756 |
|
13 |
13 |
$0.00 |