| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,561 |
2,246 |
$162K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,591 |
1,549 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
376 |
350 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
169 |
168 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
92 |
90 |
$7K |
| 92551 |
|
705 |
692 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
78 |
75 |
$5K |
| 99173 |
|
570 |
560 |
$4K |
| 97802 |
|
203 |
202 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
37 |
$3K |
| 90461 |
|
163 |
163 |
$2K |
| 99051 |
|
402 |
378 |
$2K |
| 90686 |
|
357 |
334 |
$669.94 |
| 94760 |
|
342 |
336 |
$94.62 |
| 99000 |
|
250 |
240 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |