| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,492 |
1,276 |
$99K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
964 |
944 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
485 |
475 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
420 |
374 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
379 |
373 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
144 |
144 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
47 |
46 |
$5K |
| 99058 |
|
138 |
131 |
$3K |
| 99188 |
|
78 |
77 |
$901.59 |
| 36416 |
|
128 |
127 |
$564.34 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
60 |
60 |
$412.93 |
| 69210 |
|
16 |
14 |
$331.10 |
| 85018 |
|
128 |
127 |
$236.89 |
| 90670 |
|
375 |
372 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 90633 |
|
125 |
122 |
$0.00 |
| 90658 |
|
123 |
121 |
$0.00 |
| 90655 |
|
53 |
51 |
$0.00 |
| 90698 |
|
303 |
300 |
$0.00 |
| 90744 |
|
199 |
196 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |