| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90461 |
|
91 |
91 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
106 |
106 |
$0.00 |
| 99173 |
|
59 |
59 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
412 |
407 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
71 |
71 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
19 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
440 |
404 |
$0.00 |
| 92551 |
|
16 |
16 |
$0.00 |
| 96127 |
|
21 |
21 |
$0.00 |