| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,342 |
1,163 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
255 |
249 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
239 |
225 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
206 |
202 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
685 |
646 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
155 |
145 |
$11K |
| 90461 |
|
290 |
273 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
95 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
52 |
52 |
$579.32 |
| 87070 |
|
79 |
76 |
$547.84 |
| 90688 |
|
35 |
34 |
$15.25 |
| 90686 |
|
18 |
17 |
$7.75 |
| 90672 |
|
12 |
12 |
$5.75 |