| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,063 |
6,026 |
$229K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
118 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
76 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$945.12 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
421 |
210 |
$608.03 |
| 90686 |
|
14 |
13 |
$0.00 |
| 85018 |
|
13 |
13 |
$0.00 |