| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,134 |
1,058 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
75 |
75 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
467 |
285 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$3K |
| 36410 |
|
98 |
95 |
$1K |
| 99051 |
|
25 |
25 |
$404.25 |
| 90656 |
|
132 |
131 |
$40.96 |