| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
65 |
65 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
43 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
51 |
$4K |
| 90461 |
|
91 |
91 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
102 |
102 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90633 |
|
20 |
20 |
$0.00 |
| 90670 |
|
51 |
51 |
$0.00 |
| 90681 |
|
24 |
24 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90723 |
|
43 |
43 |
$0.00 |
| 90647 |
|
36 |
36 |
$0.00 |