| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,065 |
917 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
160 |
149 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
383 |
357 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
137 |
118 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
40 |
$2K |
| 92552 |
|
89 |
82 |
$879.29 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
12 |
$700.31 |
| 99173 |
|
44 |
43 |
$259.74 |
| 90461 |
|
167 |
148 |
$180.16 |
| 90686 |
|
69 |
69 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |