| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,761 |
7,549 |
$359K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
419 |
407 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
374 |
361 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
224 |
183 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,274 |
1,201 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
51 |
$4K |
| 99188 |
|
366 |
357 |
$3K |
| 90658 |
|
32 |
29 |
$94.00 |
| 92551 |
|
1,377 |
1,205 |
$0.00 |
| 85018 |
|
15 |
14 |
$0.00 |
| 99173 |
|
1,487 |
1,292 |
$0.00 |