| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,678 |
1,496 |
$159K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,207 |
1,138 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
238 |
232 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
243 |
236 |
$7K |
| 92567 |
|
981 |
772 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
172 |
169 |
$6K |
| 92552 |
|
436 |
350 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
35 |
35 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
45 |
38 |
$1K |
| 86580 |
|
128 |
128 |
$540.72 |
| 83655 |
|
30 |
30 |
$270.00 |