| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,382 |
6,865 |
$860K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
361 |
360 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,273 |
2,155 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
138 |
138 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
298 |
288 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
100 |
100 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54 |
50 |
$5K |
| 0072A |
|
17 |
17 |
$510.00 |
| 0071A |
|
13 |
13 |
$390.00 |
| 90685 |
|
31 |
31 |
$0.00 |
| 90686 |
|
377 |
376 |
$0.00 |
| 90656 |
|
48 |
48 |
$0.00 |
| 91307 |
|
54 |
49 |
$0.00 |