| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 85018 |
|
621 |
621 |
$0.00 |
| 81000 |
|
385 |
385 |
$0.00 |
| 90686 |
|
165 |
164 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,198 |
1,094 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
72 |
$0.00 |
| 92552 |
|
526 |
525 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
203 |
203 |
$0.00 |
| 92081 |
|
521 |
521 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
41 |
$0.00 |
| 90685 |
|
17 |
17 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
238 |
238 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
72 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21 |
14 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |