| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
476 |
438 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
158 |
147 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
137 |
131 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
53 |
52 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
110 |
107 |
$4K |
| 90670 |
|
102 |
98 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$974.40 |
| 90698 |
|
53 |
52 |
$914.25 |
| 90680 |
|
36 |
36 |
$586.88 |
| 90461 |
|
285 |
275 |
$434.91 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
393 |
380 |
$427.39 |
| 92551 |
|
35 |
35 |
$375.06 |
| 90685 |
|
12 |
12 |
$141.33 |
| 90633 |
|
12 |
12 |
$135.30 |
| 90686 |
|
13 |
12 |
$135.30 |
| 99173 |
|
35 |
35 |
$90.65 |
| 81002 |
|
28 |
26 |
$85.13 |
| 90474 |
|
36 |
36 |
$20.60 |
| 99000 |
|
15 |
15 |
$0.00 |