| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,468 |
1,047 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
105 |
100 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
79 |
77 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
793 |
328 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
41 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
30 |
$3K |
| 99429 |
|
48 |
47 |
$1K |
| 90461 |
|
154 |
105 |
$996.33 |
| 90658 |
|
51 |
45 |
$0.00 |
| 90670 |
|
29 |
28 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90660 |
|
94 |
84 |
$0.00 |
| 90657 |
|
12 |
12 |
$0.00 |