| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,283 |
9,141 |
$365K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
856 |
792 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
780 |
722 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,324 |
975 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
308 |
292 |
$20K |
| 97169 |
|
128 |
127 |
$3K |
| 99384 |
|
24 |
18 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
132 |
127 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$747.70 |
| 90461 |
|
100 |
62 |
$192.08 |
| 90686 |
|
206 |
197 |
$36.80 |
| 90700 |
|
156 |
146 |
$0.00 |
| 90715 |
|
52 |
39 |
$0.00 |
| 90670 |
|
36 |
36 |
$0.00 |
| 90710 |
|
59 |
51 |
$0.00 |
| 90734 |
|
55 |
42 |
$0.00 |