| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,328 |
2,852 |
$237K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
777 |
765 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
707 |
657 |
$53K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
339 |
338 |
$53K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,378 |
1,336 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
565 |
510 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
326 |
309 |
$30K |
| 90461 |
|
468 |
457 |
$6K |
| 90670 |
|
138 |
129 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$4K |
| 81000 |
|
691 |
684 |
$892.08 |
| 90648 |
|
62 |
57 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |
| 90680 |
|
54 |
49 |
$0.00 |