| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,213 |
1,069 |
$72K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
748 |
722 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
173 |
172 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
113 |
113 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
59 |
51 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
40 |
$3K |
| 85018 |
|
475 |
474 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$1K |
| 90674 |
|
19 |
19 |
$0.18 |