| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,235 |
1,120 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
278 |
278 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
572 |
572 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
176 |
176 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
147 |
147 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
108 |
105 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
136 |
134 |
$6K |
| 81003 |
|
562 |
558 |
$1K |
| 96127 |
|
231 |
231 |
$679.61 |
| 85018 |
|
134 |
134 |
$256.76 |
| 90686 |
|
103 |
103 |
$0.00 |
| 90656 |
|
58 |
58 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90461 |
|
269 |
269 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 90671 |
|
24 |
24 |
$0.00 |