| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
158 |
140 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
121 |
108 |
$5K |
| 92551 |
|
315 |
297 |
$3K |
| 92552 |
|
342 |
275 |
$3K |
| 90686 |
|
284 |
264 |
$2K |
| 90734 |
|
27 |
25 |
$216.00 |
| 90688 |
|
19 |
18 |
$9.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
187 |
182 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
230 |
223 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
87 |
$0.00 |
| 99173 |
|
272 |
270 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
45 |
$0.00 |