| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,499 |
1,405 |
$83K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
637 |
628 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
475 |
473 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
340 |
336 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
262 |
259 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
901 |
889 |
$10K |
| 99381 |
|
89 |
89 |
$8K |
| 97802 |
|
891 |
883 |
$4K |
| 90733 |
|
57 |
57 |
$2K |
| 90658 |
|
51 |
51 |
$254.24 |
| 90715 |
|
16 |
16 |
$34.68 |
| 90461 |
|
617 |
608 |
$17.50 |
| 90680 |
|
150 |
150 |
$0.00 |
| 3008F |
|
1,142 |
1,134 |
$0.00 |
| 90723 |
|
69 |
69 |
$0.00 |
| 90716 |
|
68 |
67 |
$0.00 |
| 90698 |
|
79 |
79 |
$0.00 |
| 90744 |
|
14 |
14 |
$0.00 |
| 90648 |
|
186 |
186 |
$0.00 |
| 90670 |
|
156 |
156 |
$0.00 |
| 90710 |
|
16 |
16 |
$0.00 |
| 90649 |
|
52 |
52 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| 90633 |
|
155 |
155 |
$0.00 |
| 90707 |
|
49 |
48 |
$0.00 |