| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,324 |
3,002 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
113 |
88 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
254 |
245 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
148 |
147 |
$936.51 |
| 90670 |
|
45 |
45 |
$255.00 |
| 90698 |
|
16 |
16 |
$129.00 |
| 92551 |
|
306 |
299 |
$122.32 |
| 90685 |
|
17 |
16 |
$92.39 |
| 90716 |
|
14 |
14 |
$90.00 |
| 90686 |
|
98 |
98 |
$87.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
90 |
88 |
$77.20 |
| 90707 |
|
12 |
12 |
$66.00 |
| 85014 |
|
524 |
516 |
$50.98 |
| 99173 |
|
298 |
291 |
$2.50 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
158 |
157 |
$0.00 |
| 81000 |
|
384 |
374 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
19 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
54 |
$0.00 |