| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,398 |
1,724 |
$104K |
| 96160 |
|
322 |
215 |
$3K |
| 90686 |
|
185 |
137 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
25 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
24 |
$873.33 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
138 |
80 |
$727.50 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
35 |
22 |
$485.41 |
| 1036F |
|
815 |
556 |
$0.00 |