| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,877 |
1,612 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
140 |
137 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
528 |
477 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
78 |
$6K |
| 3008F |
|
499 |
477 |
$1K |
| 90686 |
|
99 |
99 |
$470.24 |
| 97802 |
|
433 |
419 |
$241.87 |
| 90461 |
|
17 |
14 |
$49.66 |
| 99070 |
|
729 |
650 |
$29.25 |
| 99051 |
|
15 |
14 |
$21.66 |