| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
521 |
423 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
449 |
345 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
282 |
254 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
573 |
432 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,470 |
877 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
197 |
120 |
$9K |
| 99429 |
|
260 |
200 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
494 |
386 |
$4K |
| 90461 |
|
568 |
360 |
$3K |
| 92551 |
|
748 |
609 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
44 |
$2K |
| 90716 |
|
34 |
26 |
$0.00 |
| 90680 |
|
18 |
12 |
$0.00 |
| 90651 |
|
71 |
56 |
$0.00 |
| 90686 |
|
214 |
167 |
$0.00 |
| 90707 |
|
34 |
26 |
$0.00 |
| 90648 |
|
69 |
41 |
$0.00 |
| 90700 |
|
136 |
89 |
$0.00 |
| 99173 |
|
571 |
431 |
$0.00 |
| 90713 |
|
66 |
42 |
$0.00 |
| 90685 |
|
15 |
12 |
$0.00 |
| 90734 |
|
46 |
43 |
$0.00 |
| 90670 |
|
117 |
79 |
$0.00 |
| 90633 |
|
18 |
13 |
$0.00 |