| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,514 |
1,387 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
322 |
279 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
249 |
212 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
189 |
168 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
233 |
219 |
$6K |
| 90648 |
|
126 |
108 |
$1K |
| 90670 |
|
67 |
67 |
$640.52 |
| 90723 |
|
75 |
58 |
$516.24 |
| 90710 |
|
48 |
44 |
$411.08 |
| 90686 |
|
24 |
24 |
$249.18 |
| 90647 |
|
15 |
15 |
$143.40 |
| 90700 |
|
13 |
13 |
$124.28 |
| 90633 |
|
13 |
12 |
$114.72 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34 |
15 |
$0.00 |