| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,231 |
2,085 |
$192K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,495 |
2,476 |
$57K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
416 |
416 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
317 |
317 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
535 |
521 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
212 |
212 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
226 |
220 |
$27K |
| 4124F |
|
647 |
623 |
$7K |
| 99460 |
|
29 |
29 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
30 |
30 |
$3K |
| 96127 |
|
205 |
205 |
$1K |
| 90670 |
|
12 |
12 |
$0.00 |
| 90686 |
|
94 |
92 |
$0.00 |