| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,517 |
2,233 |
$152K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
810 |
773 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
715 |
687 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
710 |
681 |
$47K |
| 90670 |
|
395 |
389 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
157 |
149 |
$10K |
| 90686 |
|
172 |
168 |
$3K |
| 90648 |
|
169 |
167 |
$3K |
| 90707 |
|
80 |
78 |
$2K |
| 90716 |
|
53 |
51 |
$2K |
| 90723 |
|
44 |
42 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
64 |
64 |
$1K |
| 99173 |
|
218 |
207 |
$831.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
17 |
$785.70 |
| 90633 |
|
12 |
12 |
$242.01 |