| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
746 |
742 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,636 |
1,792 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
338 |
338 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
273 |
272 |
$12K |
| 99382 |
|
32 |
32 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
28 |
$901.60 |
| 90658 |
|
196 |
195 |
$0.00 |
| 90633 |
|
42 |
42 |
$0.00 |
| 90670 |
|
47 |
47 |
$0.00 |
| 90707 |
|
16 |
16 |
$0.00 |
| 90461 |
|
131 |
131 |
$0.00 |
| 90649 |
|
70 |
70 |
$0.00 |
| 90723 |
|
27 |
27 |
$0.00 |
| 90647 |
|
97 |
97 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 90686 |
|
421 |
420 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
26 |
$0.00 |
| 90657 |
|
72 |
72 |
$0.00 |