| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,262 |
3,998 |
$348K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,001 |
741 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
662 |
519 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
572 |
465 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
556 |
369 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
660 |
567 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,169 |
614 |
$4K |
| 90686 |
|
331 |
263 |
$3K |
| 90656 |
|
128 |
121 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
104 |
51 |
$2K |
| 90688 |
|
84 |
68 |
$1K |
| 90657 |
|
37 |
37 |
$814.80 |
| 90700 |
|
44 |
38 |
$744.96 |
| 90734 |
|
14 |
14 |
$325.92 |
| 90715 |
|
12 |
12 |
$279.36 |
| 96127 |
|
31 |
31 |
$141.77 |
| 90651 |
|
38 |
27 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
474 |
296 |
$0.00 |
| 90461 |
|
112 |
56 |
$0.00 |
| 90682 |
|
19 |
14 |
$0.00 |
| 90670 |
|
51 |
17 |
$0.00 |