| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,476 |
1,347 |
$72K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,747 |
1,702 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
310 |
300 |
$23K |
| 90461 |
|
283 |
265 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
138 |
138 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
154 |
$11K |
| 90686 |
|
137 |
127 |
$2.26 |
| 90698 |
|
79 |
77 |
$0.00 |
| 90670 |
|
93 |
90 |
$0.00 |