| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,285 |
2,051 |
$19K |
| 90686 |
|
500 |
500 |
$2K |
| 92551 |
|
821 |
821 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
59 |
$760.08 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
727 |
533 |
$738.12 |
| 90656 |
|
67 |
67 |
$608.85 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
58 |
$557.46 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$545.95 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31 |
31 |
$411.36 |
| 90685 |
|
52 |
52 |
$354.35 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
419 |
410 |
$239.08 |
| 85018 |
|
427 |
426 |
$151.94 |
| 99072 |
|
27 |
27 |
$126.22 |
| 99173 |
|
28 |
28 |
$27.32 |
| 86580 |
|
12 |
12 |
$8.26 |