| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,805 |
2,459 |
$158K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
823 |
784 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,681 |
1,624 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
304 |
302 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
84 |
82 |
$6K |
| 90473 |
|
27 |
27 |
$12.00 |
| 90670 |
|
243 |
243 |
$0.00 |
| 90633 |
|
50 |
50 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90698 |
|
146 |
146 |
$0.00 |
| 90744 |
|
89 |
88 |
$0.00 |
| 90680 |
|
83 |
83 |
$0.00 |
| 90686 |
|
82 |
81 |
$0.00 |