| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90688 |
|
2,091 |
2,089 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,626 |
3,549 |
$10K |
| 92552 |
|
662 |
657 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
171 |
170 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,913 |
2,855 |
$5K |
| 90715 |
|
146 |
145 |
$4K |
| 90620 |
|
83 |
83 |
$4K |
| 90732 |
|
46 |
46 |
$4K |
| 90677 |
|
12 |
12 |
$3K |
| 90746 |
|
38 |
38 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$2K |
| 90662 |
|
103 |
102 |
$2K |
| 90658 |
|
74 |
74 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
41 |
$2K |
| 90651 |
|
28 |
28 |
$701.57 |
| 90734 |
|
13 |
13 |
$119.04 |
| 85018 |
|
70 |
68 |
$110.12 |
| 3078F |
|
46 |
46 |
$0.00 |
| 3077F |
|
26 |
26 |
$0.00 |
| 3074F |
|
31 |
31 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
50 |
$0.00 |
| 3075F |
|
20 |
20 |
$0.00 |
| 3079F |
|
35 |
35 |
$0.00 |