| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,438 |
2,138 |
$104K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,679 |
1,775 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
300 |
297 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
201 |
178 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
151 |
147 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
70 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
55 |
$4K |
| 90686 |
|
438 |
414 |
$225.89 |
| 90648 |
|
12 |
12 |
$29.52 |
| 90685 |
|
90 |
89 |
$22.72 |
| 90700 |
|
62 |
62 |
$10.50 |
| 90713 |
|
12 |
12 |
$0.00 |