| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
781 |
735 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
622 |
616 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
129 |
125 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
91 |
90 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
43 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
29 |
$2K |
| G9007 |
Coordinated care fee, scheduled team conference |
15 |
14 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34 |
33 |
$482.46 |
| 90686 |
|
290 |
289 |
$206.25 |
| 96127 |
|
16 |
16 |
$57.18 |
| 90685 |
|
30 |
30 |
$0.00 |