| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
873 |
734 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
413 |
370 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
382 |
360 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
27 |
$986.33 |
| 90461 |
|
26 |
26 |
$296.24 |
| 99173 |
|
28 |
14 |
$81.42 |
| 90686 |
|
159 |
84 |
$79.00 |
| 90658 |
|
125 |
64 |
$62.50 |