| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,248 |
4,847 |
$349K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,137 |
1,300 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
331 |
313 |
$30K |
| 90461 |
|
636 |
541 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
182 |
177 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
147 |
145 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
114 |
113 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
98 |
98 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
18 |
$761.05 |
| 90670 |
|
96 |
94 |
$24.96 |
| 90672 |
|
157 |
157 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90686 |
|
104 |
102 |
$0.00 |
| 90674 |
|
15 |
15 |
$0.00 |
| 90723 |
|
29 |
29 |
$0.00 |
| 90660 |
|
16 |
16 |
$0.00 |