| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
986 |
756 |
$56K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,116 |
906 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
323 |
254 |
$24K |
| 99401 |
|
767 |
720 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
176 |
136 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
122 |
104 |
$10K |
| 92552 |
|
281 |
280 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67 |
61 |
$5K |
| 99408 |
|
44 |
44 |
$724.99 |
| 86580 |
|
75 |
75 |
$465.43 |
| 90686 |
|
274 |
271 |
$205.51 |
| 99173 |
|
14 |
14 |
$28.27 |