| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,491 |
1,312 |
$101K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
475 |
433 |
$47K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,281 |
1,124 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
380 |
354 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
339 |
310 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
325 |
273 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
519 |
441 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$177.97 |
| 90685 |
|
364 |
355 |
$0.37 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90670 |
|
66 |
57 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90657 |
|
71 |
70 |
$0.00 |
| 90650 |
|
120 |
97 |
$0.00 |
| 90723 |
|
30 |
24 |
$0.00 |
| 90645 |
|
13 |
12 |
$0.00 |