| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,073 |
1,884 |
$123K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,704 |
1,685 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
469 |
454 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
515 |
515 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
346 |
346 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
290 |
289 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
183 |
181 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
98 |
97 |
$6K |
| 81002 |
|
188 |
187 |
$412.59 |
| 96127 |
|
55 |
55 |
$276.64 |
| 99173 |
|
138 |
138 |
$66.24 |
| 99172 |
|
25 |
25 |
$15.00 |
| 90656 |
|
64 |
64 |
$0.00 |
| 3008F |
|
298 |
298 |
$0.00 |
| 90686 |
|
245 |
245 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90688 |
|
14 |
14 |
$0.00 |
| 90672 |
|
33 |
33 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |