| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,359 |
4,894 |
$252K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,459 |
1,447 |
$84K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,020 |
4,244 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,249 |
1,238 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,253 |
1,199 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
744 |
734 |
$45K |
| 92552 |
|
2,921 |
2,880 |
$45K |
| 90686 |
|
950 |
926 |
$5K |
| 90461 |
|
242 |
239 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
26 |
$2K |
| 90670 |
|
96 |
93 |
$1K |
| 90619 |
|
28 |
28 |
$1K |
| 90715 |
|
13 |
13 |
$255.38 |
| 90685 |
|
14 |
14 |
$60.25 |
| 86403 |
|
49 |
45 |
$49.52 |
| 90677 |
|
13 |
13 |
$7.00 |