| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,771 |
3,408 |
$224K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,057 |
1,952 |
$96K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
425 |
423 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
884 |
857 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,391 |
1,376 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
439 |
431 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
194 |
192 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,799 |
1,780 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
125 |
122 |
$10K |
| 99401 |
|
216 |
216 |
$4K |
| 3008F |
|
380 |
379 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
171 |
169 |
$2K |
| 83655 |
|
87 |
87 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
31 |
31 |
$225.06 |
| 99173 |
|
107 |
107 |
$186.20 |
| 96160 |
|
63 |
63 |
$117.30 |