| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
707 |
420 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
208 |
133 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
115 |
73 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
230 |
150 |
$6K |
| 99188 |
|
264 |
163 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
60 |
37 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
25 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
20 |
$845.17 |
| 90700 |
|
57 |
38 |
$0.00 |
| 90461 |
|
28 |
14 |
$0.00 |
| 90670 |
|
18 |
13 |
$0.00 |
| 90710 |
|
20 |
12 |
$0.00 |