| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
916 |
879 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
784 |
755 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66 |
65 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
77 |
$6K |
| 92551 |
|
384 |
374 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$964.68 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
29 |
$633.06 |
| 81002 |
|
158 |
150 |
$374.32 |
| 90686 |
|
140 |
136 |
$290.48 |
| 90660 |
|
49 |
48 |
$23.46 |
| 99173 |
|
248 |
243 |
$0.00 |
| 3008F |
|
473 |
452 |
$0.00 |
| 1220F |
|
18 |
18 |
$0.00 |