| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,079 |
5,856 |
$169K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,054 |
998 |
$102K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,072 |
1,065 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,387 |
1,253 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
567 |
564 |
$50K |
| 99383 |
|
397 |
384 |
$34K |
| 99382 |
|
313 |
297 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
236 |
236 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,616 |
2,557 |
$17K |
| 99381 |
|
108 |
107 |
$9K |
| 99384 |
|
66 |
66 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
225 |
214 |
$2K |
| 97802 |
|
2,868 |
2,699 |
$159.02 |
| 96127 |
|
183 |
178 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| 90686 |
|
54 |
54 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90657 |
|
13 |
13 |
$0.00 |
| 90670 |
|
249 |
247 |
$0.00 |
| 90648 |
|
105 |
105 |
$0.00 |
| 99173 |
|
615 |
608 |
$0.00 |
| 90734 |
|
28 |
26 |
$0.00 |
| 90633 |
|
45 |
43 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90715 |
|
25 |
24 |
$0.00 |