| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
169 |
169 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
182 |
173 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
258 |
255 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
79 |
79 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
89 |
87 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
43 |
$4K |
| 90670 |
|
144 |
144 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
55 |
$1K |
| 90723 |
|
109 |
109 |
$1K |
| 90686 |
|
99 |
99 |
$998.80 |
| 90647 |
|
89 |
89 |
$904.10 |
| 90680 |
|
84 |
84 |
$820.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
23 |
$580.45 |
| G0008 |
Administration of influenza virus vaccine |
45 |
44 |
$449.40 |
| 90651 |
|
28 |
28 |
$284.10 |
| 92551 |
|
134 |
134 |
$208.72 |
| 90707 |
|
17 |
17 |
$184.70 |
| 90716 |
|
16 |
16 |
$173.20 |
| 99173 |
|
116 |
116 |
$124.20 |
| 96127 |
|
18 |
18 |
$31.24 |
| 83655 |
|
105 |
105 |
$23.00 |
| 85018 |
|
14 |
14 |
$0.00 |