| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,354 |
2,286 |
$208K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,685 |
4,160 |
$180K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,310 |
3,087 |
$178K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,996 |
1,912 |
$163K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,088 |
1,026 |
$86K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
411 |
385 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,406 |
2,330 |
$25K |
| 90461 |
|
2,389 |
1,171 |
$2K |
| 97169 |
|
14 |
14 |
$434.00 |
| 90686 |
|
428 |
427 |
$0.00 |
| 90716 |
|
219 |
204 |
$0.00 |
| 90723 |
|
269 |
255 |
$0.00 |
| 90696 |
|
39 |
29 |
$0.00 |
| 90647 |
|
71 |
71 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90670 |
|
546 |
527 |
$0.00 |
| 90648 |
|
221 |
211 |
$0.00 |
| 90707 |
|
235 |
213 |
$0.00 |
| 90715 |
|
92 |
77 |
$0.00 |
| 90681 |
|
13 |
12 |
$0.00 |
| 90633 |
|
151 |
146 |
$0.00 |
| 90734 |
|
104 |
89 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |