| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,373 |
1,247 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,195 |
444 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
145 |
129 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$951.36 |
| 90461 |
|
126 |
112 |
$816.30 |
| 90670 |
|
13 |
13 |
$0.00 |