| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,582 |
3,292 |
$246K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,521 |
3,434 |
$142K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,027 |
1,022 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
749 |
746 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
507 |
472 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
434 |
431 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
393 |
382 |
$25K |
| 90461 |
|
334 |
332 |
$11K |
| 0072A |
|
50 |
50 |
$2K |
| 0073A |
|
40 |
39 |
$2K |
| 0071A |
|
25 |
25 |
$891.93 |
| 90480 |
|
14 |
14 |
$315.36 |
| 90686 |
|
1,310 |
1,276 |
$275.33 |
| 90672 |
|
40 |
37 |
$55.83 |
| 91307 |
|
224 |
206 |
$13.36 |
| 90698 |
|
81 |
81 |
$0.00 |
| 90619 |
|
42 |
42 |
$0.00 |
| 90651 |
|
34 |
34 |
$0.00 |
| 90670 |
|
109 |
108 |
$0.00 |
| 90734 |
|
44 |
44 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |