| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,267 |
3,735 |
$189K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,003 |
953 |
$70K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
736 |
734 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
581 |
580 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,833 |
1,750 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
275 |
275 |
$22K |
| 92551 |
|
1,975 |
1,961 |
$11K |
| 90686 |
|
321 |
319 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
58 |
57 |
$4K |
| 81002 |
|
1,770 |
1,760 |
$1K |
| 3008F |
|
278 |
278 |
$1K |
| 86580 |
|
162 |
159 |
$576.31 |
| 90461 |
|
13 |
13 |
$322.40 |