| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,542 |
2,498 |
$151K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,100 |
1,006 |
$117K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
512 |
468 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
396 |
395 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
383 |
376 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
172 |
172 |
$20K |
| 85018 |
|
695 |
686 |
$51.98 |
| 90700 |
|
348 |
339 |
$0.01 |
| 90670 |
|
189 |
185 |
$0.00 |
| 90713 |
|
149 |
145 |
$0.00 |
| 81002 |
|
60 |
59 |
$0.00 |
| 90685 |
|
60 |
60 |
$0.00 |
| 90648 |
|
169 |
165 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90686 |
|
1,166 |
1,163 |
$0.00 |