| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,259 |
1,072 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
253 |
233 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
533 |
494 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
185 |
179 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
155 |
152 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
127 |
119 |
$11K |
| 92552 |
|
461 |
436 |
$11K |
| D0145 |
Oral evaluation for a patient under three years of age |
384 |
357 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
235 |
227 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
70 |
$7K |
| S9470 |
Nutritional counseling, dietitian visit |
348 |
332 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
407 |
359 |
$3K |
| 99381 |
|
13 |
13 |
$1K |
| 99173 |
|
462 |
435 |
$696.06 |
| 85018 |
|
402 |
340 |
$426.45 |
| 96160 |
|
137 |
130 |
$335.50 |
| 99050 |
|
12 |
12 |
$180.00 |
| 96161 |
|
80 |
77 |
$81.62 |
| 90656 |
|
89 |
83 |
$0.53 |
| 90655 |
|
14 |
12 |
$0.07 |
| 90651 |
|
54 |
50 |
$0.07 |
| 90670 |
|
132 |
124 |
$0.06 |
| 90648 |
|
67 |
63 |
$0.02 |
| 90633 |
|
73 |
67 |
$0.01 |
| 90734 |
|
40 |
35 |
$0.01 |
| 90715 |
|
14 |
12 |
$0.01 |
| 90680 |
|
76 |
72 |
$0.00 |
| 90723 |
|
64 |
60 |
$0.00 |