| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,170 |
1,956 |
$1K |
| 90686 |
|
304 |
304 |
$365.08 |
| 90656 |
|
48 |
48 |
$23.47 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
498 |
492 |
$16.06 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
53 |
$0.00 |
| 90461 |
|
64 |
63 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$0.00 |