| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,556 |
1,238 |
$117K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
251 |
147 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
197 |
134 |
$15K |
| 90686 |
|
734 |
603 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
98 |
70 |
$8K |
| 99215 |
Prolong outpt/office vis |
81 |
77 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
30 |
$3K |
| 90656 |
|
85 |
85 |
$1K |
| 90698 |
|
36 |
24 |
$234.96 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
764 |
481 |
$0.00 |
| 90461 |
|
30 |
15 |
$0.00 |