| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
645 |
619 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
269 |
259 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
121 |
108 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
622 |
292 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
48 |
44 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
27 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
24 |
$1K |
| 92551 |
|
176 |
173 |
$1K |
| 85018 |
|
12 |
12 |
$21.36 |
| 90734 |
|
14 |
14 |
$0.00 |
| 3078F |
|
375 |
360 |
$0.00 |
| 90671 |
|
36 |
26 |
$0.00 |
| 3075F |
|
38 |
38 |
$0.00 |
| 2001F |
|
593 |
565 |
$0.00 |
| 3074F |
|
426 |
412 |
$0.00 |
| 3008F |
|
592 |
564 |
$0.00 |
| 1036F |
|
264 |
245 |
$0.00 |
| 3079F |
|
100 |
97 |
$0.00 |
| 90677 |
|
40 |
39 |
$0.00 |
| 90686 |
|
31 |
31 |
$0.00 |
| 90651 |
|
14 |
13 |
$0.00 |
| 99172 |
|
27 |
26 |
$0.00 |