| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,709 |
1,588 |
$85K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,845 |
1,800 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
628 |
600 |
$44K |
| 90461 |
|
375 |
348 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
113 |
107 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
41 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
39 |
$3K |
| 99173 |
|
109 |
104 |
$207.31 |
| 96127 |
|
53 |
51 |
$185.19 |
| 92551 |
|
18 |
16 |
$124.55 |
| 90686 |
|
182 |
167 |
$20.46 |