| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
229 |
214 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
163 |
160 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
78 |
73 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
46 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
44 |
$4K |
| 99383 |
|
31 |
31 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
72 |
72 |
$3K |
| 99381 |
|
12 |
12 |
$1K |
| 96127 |
|
130 |
130 |
$497.51 |
| 99173 |
|
15 |
15 |
$41.25 |