| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,807 |
2,562 |
$174K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
416 |
391 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
292 |
265 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
97 |
93 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
65 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
29 |
$1K |
| 99173 |
|
235 |
224 |
$1K |
| 90686 |
|
28 |
28 |
$554.12 |
| 90670 |
|
27 |
27 |
$514.54 |
| 90688 |
|
18 |
18 |
$356.22 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
15 |
$284.51 |