| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,065 |
4,965 |
$409K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,275 |
2,195 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
255 |
255 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
140 |
140 |
$13K |
| 99429 |
|
197 |
191 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
26 |
$2K |
| 97802 |
|
98 |
98 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 90461 |
|
15 |
15 |
$561.60 |
| 96127 |
|
12 |
12 |
$48.36 |
| 90686 |
|
206 |
206 |
$27.03 |
| 3008F |
|
1,400 |
1,354 |
$0.02 |