| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
288 |
274 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
285 |
276 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
163 |
156 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
25 |
$1K |
| 90686 |
|
29 |
29 |
$71.40 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |