| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
704 |
632 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
395 |
370 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
104 |
94 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
45 |
39 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
25 |
$2K |
| 92551 |
|
241 |
224 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$848.70 |
| 96160 |
|
373 |
350 |
$430.78 |
| 96127 |
|
24 |
24 |
$72.06 |
| 90686 |
|
70 |
70 |
$0.00 |
| 90670 |
|
50 |
43 |
$0.00 |
| 99173 |
|
256 |
238 |
$0.00 |
| 90685 |
|
33 |
27 |
$0.00 |
| 90461 |
|
27 |
27 |
$0.00 |
| 90648 |
|
16 |
12 |
$0.00 |