| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
553 |
517 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
941 |
529 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
49 |
$3K |
| 92587 |
|
187 |
183 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
44 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
27 |
$721.63 |
| 90686 |
|
98 |
97 |
$226.55 |
| 99173 |
|
89 |
88 |
$199.31 |
| 90633 |
|
42 |
42 |
$0.18 |