| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
327 |
306 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
196 |
187 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
161 |
157 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
58 |
58 |
$7K |
| 90461 |
|
56 |
56 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
16 |
$2K |
| 99177 |
|
115 |
110 |
$0.00 |
| 90670 |
|
18 |
18 |
$0.00 |
| 90680 |
|
26 |
26 |
$0.00 |
| 36416 |
|
13 |
12 |
$0.00 |
| 90698 |
|
41 |
41 |
$0.00 |