| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
895 |
767 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
672 |
560 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
185 |
158 |
$14K |
| 90677 |
|
338 |
315 |
$12K |
| 90697 |
|
352 |
289 |
$6K |
| 90680 |
|
326 |
270 |
$6K |
| 99381 |
|
29 |
29 |
$3K |
| 90656 |
|
157 |
152 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
32 |
$3K |
| 90686 |
|
107 |
100 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$1K |
| 90381 |
|
47 |
27 |
$803.37 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
431 |
365 |
$0.00 |
| 90461 |
|
272 |
210 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$0.00 |