| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,662 |
1,334 |
$99K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,198 |
2,019 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
936 |
779 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
144 |
137 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
49 |
49 |
$3K |
| 90686 |
|
374 |
365 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
37 |
$2K |
| 90461 |
|
166 |
162 |
$2K |
| 90670 |
|
27 |
27 |
$679.29 |
| 90656 |
|
83 |
82 |
$537.13 |
| 90700 |
|
41 |
41 |
$191.71 |
| 90744 |
|
13 |
13 |
$84.75 |
| 90713 |
|
25 |
25 |
$79.38 |
| 90648 |
|
13 |
13 |
$0.00 |