| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,516 |
3,257 |
$159K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
636 |
546 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
203 |
202 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
75 |
75 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
75 |
75 |
$4K |
| 0071A |
|
21 |
21 |
$2K |
| 92551 |
|
197 |
194 |
$1K |
| 99173 |
|
77 |
77 |
$177.76 |
| 90734 |
|
63 |
61 |
$0.00 |
| 91300 |
|
44 |
44 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90715 |
|
15 |
14 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 91307 |
|
50 |
49 |
$0.00 |
| 90686 |
|
120 |
119 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |