| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,747 |
1,652 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
980 |
933 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
173 |
166 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
86 |
86 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
80 |
76 |
$7K |
| 92551 |
|
102 |
100 |
$994.56 |
| G0008 |
Administration of influenza virus vaccine |
89 |
88 |
$975.20 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$828.80 |
| 99173 |
|
108 |
106 |
$781.75 |
| 90686 |
|
185 |
185 |
$760.81 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |