| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,378 |
2,246 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
289 |
285 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
923 |
541 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
258 |
252 |
$7K |
| 92551 |
|
525 |
525 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
88 |
88 |
$3K |
| 92552 |
|
456 |
441 |
$2K |
| 99173 |
|
912 |
904 |
$1K |
| 90686 |
|
123 |
113 |
$720.00 |
| 90658 |
|
238 |
236 |
$297.00 |
| 90648 |
|
65 |
62 |
$108.00 |
| 90670 |
|
55 |
52 |
$81.00 |
| 90672 |
|
97 |
97 |
$30.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
39 |
$12.76 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |