| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,107 |
1,948 |
$130K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,099 |
1,098 |
$88K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,907 |
2,833 |
$71K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
901 |
892 |
$64K |
| 90461 |
|
1,076 |
1,065 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
577 |
561 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
134 |
134 |
$11K |
| 92552 |
|
358 |
358 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
432 |
432 |
$4K |
| 90697 |
|
46 |
46 |
$2K |
| 99383 |
|
25 |
25 |
$2K |
| 90671 |
|
31 |
31 |
$2K |
| 99381 |
|
14 |
14 |
$1K |
| 99173 |
|
728 |
726 |
$1K |
| 99401 |
|
51 |
51 |
$909.73 |
| 90473 |
|
190 |
190 |
$531.95 |
| 96127 |
|
74 |
74 |
$325.14 |
| 99000 |
|
116 |
112 |
$185.20 |
| 90686 |
|
553 |
551 |
$134.10 |
| 96161 |
|
762 |
738 |
$108.98 |
| 90670 |
|
436 |
435 |
$90.00 |
| 90658 |
|
55 |
54 |
$86.96 |
| 99177 |
|
14 |
14 |
$13.65 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
73 |
73 |
$0.00 |
| 90680 |
|
157 |
157 |
$0.00 |
| 90698 |
|
119 |
119 |
$0.00 |
| 90744 |
|
14 |
14 |
$0.00 |