| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
895 |
819 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
87 |
73 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
149 |
138 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
45 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
367 |
346 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
26 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
38 |
$3K |
| 81003 |
|
232 |
218 |
$252.32 |
| 99173 |
|
62 |
48 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 92551 |
|
67 |
52 |
$0.00 |