| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50 |
50 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58 |
45 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$2K |
| 90461 |
|
69 |
69 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
82 |
82 |
$1K |
| 90723 |
|
12 |
12 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90670 |
|
26 |
26 |
$0.00 |
| 90633 |
|
42 |
42 |
$0.00 |