| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,250 |
3,777 |
$282K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,732 |
1,637 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
138 |
133 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
121 |
115 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
117 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
85 |
83 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
13 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 90670 |
|
41 |
40 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90649 |
|
25 |
25 |
$0.00 |
| 90656 |
|
241 |
204 |
$0.00 |
| 99000 |
|
23 |
22 |
$0.00 |
| 90660 |
|
13 |
13 |
$0.00 |
| 90634 |
|
13 |
12 |
$0.00 |