| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,209 |
1,917 |
$83K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
237 |
237 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
216 |
216 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
152 |
152 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
51 |
$4K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
15 |
15 |
$3K |
| 90670 |
|
13 |
13 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
79 |
78 |
$2K |
| 90461 |
|
84 |
63 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
934 |
874 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |