| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
44 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
45 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$740.40 |
| 90461 |
|
42 |
42 |
$717.18 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
51 |
51 |
$529.89 |
| 99188 |
|
12 |
12 |
$157.08 |
| 85018 |
|
12 |
12 |
$20.28 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |