| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,582 |
3,206 |
$222K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,770 |
2,547 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
427 |
390 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
279 |
263 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
123 |
121 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
646 |
585 |
$10K |
| 90686 |
|
828 |
699 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
97 |
91 |
$7K |
| 0124A |
|
22 |
13 |
$705.20 |
| 90670 |
|
71 |
69 |
$701.50 |
| 90651 |
|
42 |
41 |
$482.17 |
| 90715 |
|
39 |
36 |
$445.39 |
| 90648 |
|
48 |
41 |
$308.24 |
| 90633 |
|
43 |
37 |
$270.49 |
| 90734 |
|
41 |
38 |
$265.02 |
| 90710 |
|
13 |
12 |
$77.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
142 |
128 |
$0.00 |