| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,123 |
2,866 |
$278K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
606 |
600 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
514 |
490 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
543 |
533 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
415 |
388 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
240 |
234 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
187 |
180 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
27 |
$5K |
| 99383 |
|
12 |
12 |
$2K |
| 90461 |
|
572 |
550 |
$2K |
| 99188 |
|
991 |
983 |
$964.89 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
834 |
808 |
$890.05 |
| 90723 |
|
154 |
146 |
$0.00 |
| 90647 |
|
256 |
250 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |
| 90670 |
|
292 |
284 |
$0.00 |
| 90710 |
|
59 |
59 |
$0.00 |
| 90681 |
|
24 |
24 |
$0.00 |
| 90700 |
|
23 |
23 |
$0.00 |