| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
816 |
736 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
228 |
208 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
261 |
190 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
568 |
472 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
34 |
$1K |
| 99441 |
|
38 |
33 |
$885.16 |
| 90461 |
|
107 |
77 |
$95.06 |
| 99173 |
|
42 |
42 |
$14.46 |
| 90670 |
|
23 |
14 |
$0.00 |
| 90680 |
|
21 |
12 |
$0.00 |
| 90686 |
|
17 |
15 |
$0.00 |
| 90698 |
|
21 |
12 |
$0.00 |