| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,162 |
2,626 |
$239K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,770 |
2,388 |
$142K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
558 |
558 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,350 |
1,318 |
$42K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,470 |
2,414 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
727 |
698 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
292 |
287 |
$24K |
| 92551 |
|
1,682 |
1,674 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,348 |
2,323 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
126 |
126 |
$12K |
| 90686 |
|
983 |
970 |
$10K |
| 99401 |
|
206 |
203 |
$5K |
| 99173 |
|
1,754 |
1,746 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
474 |
464 |
$5K |
| 90688 |
|
206 |
206 |
$4K |
| S9452 |
Nutrition classes, non-physician provider, per session |
647 |
644 |
$2K |
| S9451 |
Exercise classes, non-physician provider, per session |
556 |
556 |
$2K |
| 3008F |
|
695 |
694 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$1K |
| 92568 |
|
126 |
81 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$1K |
| 90685 |
|
39 |
39 |
$764.62 |