| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,531 |
3,003 |
$186K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
585 |
499 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
486 |
447 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
465 |
428 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
382 |
349 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,932 |
1,806 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
61 |
$7K |
| 90656 |
|
90 |
84 |
$96.04 |
| 90716 |
|
33 |
32 |
$0.00 |
| 90698 |
|
87 |
82 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90670 |
|
146 |
140 |
$0.00 |
| 90655 |
|
25 |
25 |
$0.00 |
| 90633 |
|
62 |
57 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$0.00 |