| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
157 |
154 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
70 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$418.24 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
48 |
48 |
$125.05 |
| 99173 |
|
29 |
29 |
$56.98 |
| 85014 |
|
13 |
13 |
$37.44 |
| 36416 |
|
17 |
17 |
$8.80 |