| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
863 |
767 |
$18K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
530 |
489 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
143 |
130 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
130 |
115 |
$9K |
| 90461 |
|
331 |
263 |
$6K |
| 97802 |
|
356 |
338 |
$5K |
| 92587 |
|
359 |
339 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
35 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
42 |
$1K |
| 83655 |
|
52 |
44 |
$246.50 |
| 85018 |
|
170 |
150 |
$144.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$115.35 |
| 99173 |
|
344 |
332 |
$46.23 |
| 99188 |
|
21 |
13 |
$33.46 |
| 90716 |
|
14 |
13 |
$0.00 |
| 90707 |
|
14 |
13 |
$0.00 |