| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,861 |
12,125 |
$824K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,195 |
4,963 |
$250K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,334 |
2,260 |
$202K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,960 |
1,922 |
$172K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,780 |
1,644 |
$147K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
690 |
671 |
$66K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
696 |
683 |
$14K |
| 90686 |
|
1,230 |
1,162 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
116 |
114 |
$2K |
| 99381 |
|
25 |
24 |
$2K |
| 36416 |
|
378 |
367 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
12 |
$1K |
| 99188 |
|
73 |
71 |
$861.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
74 |
74 |
$511.67 |
| 90680 |
|
463 |
442 |
$444.40 |
| 90670 |
|
921 |
883 |
$293.43 |
| 90648 |
|
287 |
280 |
$222.20 |
| 90651 |
|
143 |
141 |
$88.88 |
| 90633 |
|
293 |
288 |
$0.00 |
| 90671 |
|
296 |
290 |
$0.00 |
| 90707 |
|
321 |
314 |
$0.00 |
| 90715 |
|
48 |
45 |
$0.00 |
| 90734 |
|
132 |
128 |
$0.00 |
| 90698 |
|
126 |
119 |
$0.00 |
| 90716 |
|
311 |
305 |
$0.00 |
| 90723 |
|
67 |
65 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90677 |
|
60 |
60 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |