| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,056 |
886 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
233 |
232 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
218 |
204 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
186 |
186 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
76 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
328 |
320 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
43 |
$3K |
| 90670 |
|
44 |
44 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90716 |
|
25 |
25 |
$0.00 |