| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,932 |
3,611 |
$136K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,291 |
1,281 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,035 |
1,032 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
887 |
855 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
548 |
547 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,166 |
2,061 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
461 |
454 |
$29K |
| G9007 |
Coordinated care fee, scheduled team conference |
98 |
97 |
$10K |
| 90733 |
|
78 |
77 |
$3K |
| 90686 |
|
252 |
251 |
$98.36 |
| 90707 |
|
69 |
69 |
$0.00 |
| 90685 |
|
28 |
28 |
$0.00 |
| 90715 |
|
32 |
32 |
$0.00 |
| 90700 |
|
48 |
48 |
$0.00 |
| 90670 |
|
93 |
92 |
$0.00 |
| 90713 |
|
29 |
29 |
$0.00 |
| 90716 |
|
68 |
68 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |