| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
439 |
426 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
242 |
240 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
183 |
181 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
143 |
143 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
34 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
80 |
$3K |
| 90670 |
|
100 |
99 |
$2K |
| 90710 |
|
56 |
56 |
$2K |
| 90698 |
|
82 |
82 |
$1K |
| 90723 |
|
83 |
82 |
$1K |
| 90633 |
|
95 |
95 |
$1K |
| 90647 |
|
85 |
84 |
$1K |
| 90680 |
|
72 |
71 |
$965.05 |
| 90461 |
|
381 |
377 |
$889.76 |
| 90656 |
|
40 |
40 |
$715.74 |
| 90700 |
|
50 |
50 |
$573.52 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
548 |
541 |
$471.54 |
| 90716 |
|
13 |
13 |
$342.65 |
| 90651 |
|
26 |
26 |
$284.35 |
| 86580 |
|
12 |
12 |
$84.60 |