| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119 |
107 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
152 |
142 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
62 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
59 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
57 |
55 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
145 |
123 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$1K |
| 92551 |
|
137 |
111 |
$698.09 |
| 81002 |
|
127 |
115 |
$316.34 |
| 99173 |
|
139 |
110 |
$167.99 |
| 90461 |
|
44 |
37 |
$91.97 |
| 96127 |
|
17 |
14 |
$37.58 |