| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92557 |
|
126 |
124 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
40 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
35 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
50 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
14 |
$0.00 |
| 90647 |
|
25 |
24 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
96 |
$0.00 |
| 90686 |
|
81 |
80 |
$0.00 |
| 92499 |
|
126 |
124 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 86580 |
|
12 |
12 |
$0.00 |