| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,333 |
1,234 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
459 |
152 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
237 |
216 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
91 |
88 |
$3K |
| 95886 |
|
122 |
60 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
25 |
$2K |
| 95911 |
|
28 |
27 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
52 |
$944.72 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$916.30 |
| 90686 |
|
21 |
21 |
$0.00 |
| 90461 |
|
72 |
52 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |