| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,179 |
1,965 |
$161K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,545 |
1,372 |
$76K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,190 |
2,054 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
395 |
378 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
183 |
180 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
162 |
139 |
$11K |
| 90461 |
|
1,063 |
796 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
177 |
164 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
36 |
27 |
$408.97 |
| 92551 |
|
502 |
444 |
$232.64 |
| 99173 |
|
217 |
190 |
$19.48 |
| 90686 |
|
739 |
621 |
$0.01 |
| 90670 |
|
33 |
26 |
$0.00 |
| 90672 |
|
35 |
17 |
$0.00 |