| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
507 |
470 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
338 |
310 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
508 |
397 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
130 |
130 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
46 |
$3K |
| 90686 |
|
33 |
32 |
$0.00 |
| 90670 |
|
105 |
104 |
$0.00 |
| 90461 |
|
60 |
60 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |