| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,351 |
2,848 |
$208K |
| 99215 |
Prolong outpt/office vis |
1,581 |
1,533 |
$189K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,415 |
1,356 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
448 |
427 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
417 |
417 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
322 |
316 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,434 |
1,369 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
224 |
224 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
908 |
900 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
167 |
167 |
$5K |
| 99188 |
|
343 |
342 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99406 |
|
13 |
13 |
$167.83 |
| 96127 |
|
15 |
14 |
$63.42 |
| 96160 |
|
431 |
431 |
$0.00 |
| 90686 |
|
127 |
127 |
$0.00 |