| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,232 |
1,932 |
$85K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
358 |
328 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
321 |
311 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
261 |
249 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
237 |
237 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
583 |
548 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$782.42 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
852 |
794 |
$423.56 |
| 99401 |
|
534 |
512 |
$386.50 |
| 90686 |
|
137 |
132 |
$345.88 |
| 90651 |
|
74 |
65 |
$197.24 |
| 92567 |
|
439 |
340 |
$146.04 |
| 90713 |
|
163 |
160 |
$138.76 |
| 90680 |
|
129 |
117 |
$138.76 |
| 90670 |
|
248 |
224 |
$118.76 |
| 90700 |
|
215 |
211 |
$40.00 |
| 90633 |
|
94 |
86 |
$20.00 |
| 90707 |
|
44 |
44 |
$0.00 |
| 90734 |
|
26 |
25 |
$0.00 |
| 90715 |
|
19 |
18 |
$0.00 |
| 90716 |
|
44 |
44 |
$0.00 |
| 90647 |
|
104 |
103 |
$0.00 |
| 90744 |
|
56 |
54 |
$0.00 |