| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,587 |
3,272 |
$260K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
809 |
808 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
782 |
760 |
$63K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
560 |
560 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,922 |
2,895 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
259 |
259 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
378 |
370 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
39 |
39 |
$2K |
| 99460 |
|
23 |
23 |
$1K |
| 96127 |
|
234 |
234 |
$1K |
| 90686 |
|
765 |
764 |
$3.81 |
| 90648 |
|
234 |
234 |
$0.00 |
| 90670 |
|
368 |
367 |
$0.00 |
| 90700 |
|
402 |
402 |
$0.00 |
| 90633 |
|
39 |
39 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90713 |
|
237 |
237 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90656 |
|
87 |
87 |
$0.00 |
| 90680 |
|
85 |
84 |
$0.00 |
| 90651 |
|
24 |
24 |
$0.00 |