| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,067 |
994 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
231 |
228 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
314 |
292 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
94 |
89 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,120 |
1,091 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
40 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$506.80 |
| 90461 |
|
254 |
239 |
$48.00 |
| 90686 |
|
298 |
290 |
$23.70 |
| 90685 |
|
32 |
32 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90648 |
|
25 |
25 |
$0.00 |
| 90700 |
|
71 |
71 |
$0.00 |
| 90713 |
|
27 |
27 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |