| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,606 |
2,292 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,306 |
1,273 |
$10K |
| 92551 |
|
579 |
576 |
$4K |
| 99051 |
|
628 |
600 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
39 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
246 |
236 |
$1K |
| 90686 |
|
350 |
350 |
$524.79 |
| 97802 |
|
266 |
265 |
$0.00 |
| 94760 |
|
527 |
513 |
$0.00 |
| 99000 |
|
195 |
186 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
136 |
135 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
53 |
52 |
$0.00 |
| 99173 |
|
533 |
532 |
$0.00 |
| 90461 |
|
149 |
148 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$0.00 |
| 90672 |
|
16 |
16 |
$0.00 |