| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,775 |
1,538 |
$141K |
| 99443 |
|
234 |
199 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
81 |
77 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
67 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
832 |
420 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
43 |
$5K |
| 96127 |
|
302 |
289 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
375 |
287 |
$5K |
| 99173 |
|
566 |
527 |
$4K |
| 92551 |
|
595 |
553 |
$3K |
| 90688 |
|
12 |
12 |
$204.08 |
| 90686 |
|
359 |
345 |
$0.03 |
| 81000 |
|
546 |
504 |
$0.00 |