| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,239 |
4,409 |
$262K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
551 |
505 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,483 |
1,354 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
287 |
286 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
286 |
282 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
155 |
155 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
142 |
142 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
18 |
18 |
$3K |
| 90656 |
|
182 |
181 |
$1K |
| 90655 |
|
14 |
14 |
$58.83 |