| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,845 |
1,699 |
$173K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,351 |
1,298 |
$78K |
| 90461 |
|
873 |
872 |
$34K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,753 |
1,746 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
130 |
130 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$1K |
| 90645 |
|
295 |
294 |
$15.49 |
| 90723 |
|
68 |
68 |
$0.00 |
| 90657 |
|
220 |
220 |
$0.00 |
| 90716 |
|
152 |
152 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| 90633 |
|
180 |
180 |
$0.00 |
| 90670 |
|
293 |
292 |
$0.00 |
| 90707 |
|
160 |
160 |
$0.00 |
| 90700 |
|
273 |
273 |
$0.00 |
| 90649 |
|
116 |
116 |
$0.00 |
| 90713 |
|
127 |
127 |
$0.00 |
| 90658 |
|
926 |
923 |
$0.00 |
| 90734 |
|
37 |
37 |
$0.00 |