| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
890 |
770 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
456 |
385 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
207 |
199 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
169 |
168 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
425 |
408 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
108 |
100 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
27 |
$2K |
| 81002 |
|
377 |
368 |
$427.00 |
| 90700 |
|
35 |
32 |
$0.00 |
| 90461 |
|
263 |
251 |
$0.00 |
| 90670 |
|
58 |
56 |
$0.00 |
| 90648 |
|
47 |
47 |
$0.00 |
| 90734 |
|
17 |
16 |
$0.00 |
| 90713 |
|
17 |
15 |
$0.00 |
| 90710 |
|
16 |
15 |
$0.00 |
| 99443 |
|
12 |
12 |
$0.00 |
| 90723 |
|
15 |
15 |
$0.00 |
| 90688 |
|
20 |
19 |
$0.00 |
| 90620 |
|
54 |
50 |
$0.00 |
| 90651 |
|
34 |
33 |
$0.00 |