| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
301 |
272 |
$26.18 |
| 92551 |
|
507 |
495 |
$11.13 |
| 99173 |
|
508 |
496 |
$2.30 |
| 99383 |
|
12 |
12 |
$0.00 |
| 1220F |
|
85 |
84 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
131 |
$0.00 |
| 3351F |
|
36 |
36 |
$0.00 |
| 90688 |
|
17 |
17 |
$0.00 |
| 90723 |
|
52 |
50 |
$0.00 |
| 90649 |
|
80 |
78 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
273 |
263 |
$0.00 |
| 81002 |
|
30 |
28 |
$0.00 |
| 90633 |
|
86 |
80 |
$0.00 |
| 90710 |
|
45 |
44 |
$0.00 |
| 90670 |
|
119 |
115 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
404 |
390 |
$0.00 |
| 90734 |
|
26 |
26 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
150 |
149 |
$0.00 |
| 99188 |
|
117 |
116 |
$0.00 |
| 90648 |
|
135 |
130 |
$0.00 |
| 90461 |
|
206 |
201 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
149 |
146 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
50 |
48 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$0.00 |