| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
268 |
246 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
241 |
224 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
366 |
331 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
149 |
136 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109 |
96 |
$5K |
| 92551 |
|
41 |
38 |
$121.76 |
| 99173 |
|
58 |
52 |
$29.32 |
| 90681 |
|
24 |
24 |
$0.00 |
| 90670 |
|
134 |
126 |
$0.00 |
| 90685 |
|
14 |
12 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90647 |
|
107 |
103 |
$0.00 |
| 90723 |
|
99 |
95 |
$0.00 |
| 90686 |
|
22 |
21 |
$0.00 |