| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,866 |
2,751 |
$160K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
748 |
748 |
$76K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,293 |
1,274 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
459 |
458 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
420 |
409 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
276 |
276 |
$27K |
| 90461 |
|
247 |
245 |
$9K |
| 99382 |
|
25 |
24 |
$3K |
| 17110 |
|
14 |
12 |
$1K |
| 36416 |
|
102 |
101 |
$321.00 |
| 81002 |
|
26 |
25 |
$71.99 |
| 85018 |
|
24 |
24 |
$63.36 |
| 90686 |
|
63 |
63 |
$34.26 |
| 96161 |
|
177 |
174 |
$0.00 |