| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,592 |
3,470 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,026 |
987 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,422 |
1,355 |
$102K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
836 |
814 |
$96K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
890 |
881 |
$94K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
861 |
836 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
395 |
390 |
$40K |
| 99174 |
|
1,871 |
1,821 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
34 |
$2K |
| 87081 |
|
12 |
12 |
$69.74 |
| 90686 |
|
1,866 |
1,822 |
$19.08 |
| 90461 |
|
899 |
877 |
$0.00 |
| 90670 |
|
279 |
270 |
$0.00 |
| 90672 |
|
421 |
414 |
$0.00 |
| 90633 |
|
81 |
79 |
$0.00 |
| 90685 |
|
140 |
135 |
$0.00 |
| 90734 |
|
33 |
29 |
$0.00 |
| 90621 |
|
14 |
13 |
$0.00 |
| 90651 |
|
300 |
290 |
$0.00 |
| 90680 |
|
26 |
26 |
$0.00 |
| 90698 |
|
247 |
239 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |