| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
610 |
534 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
319 |
277 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
27 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
98 |
87 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$3K |
| 90686 |
|
48 |
48 |
$502.19 |
| 90700 |
|
64 |
64 |
$459.00 |
| 90670 |
|
51 |
51 |
$387.00 |
| 90713 |
|
51 |
51 |
$369.00 |
| 90647 |
|
24 |
24 |
$180.00 |