| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,619 |
2,343 |
$10K |
| 92552 |
|
1,283 |
1,279 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
429 |
426 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
516 |
513 |
$5K |
| 0001A |
|
87 |
87 |
$3K |
| 99173 |
|
1,224 |
1,220 |
$3K |
| 0002A |
|
61 |
61 |
$2K |
| 90686 |
|
269 |
267 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$878.18 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
152 |
150 |
$611.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
30 |
$512.50 |
| 92551 |
|
150 |
149 |
$464.34 |
| 90756 |
|
68 |
66 |
$317.00 |
| 90688 |
|
90 |
84 |
$310.00 |
| 90670 |
|
25 |
24 |
$254.00 |
| 90658 |
|
106 |
104 |
$233.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$113.12 |
| 90734 |
|
70 |
70 |
$92.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
36 |
$34.55 |
| 90651 |
|
57 |
57 |
$32.00 |
| 92081 |
|
124 |
123 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |