| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,392 |
1,359 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
733 |
705 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
780 |
778 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
404 |
403 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
237 |
237 |
$9K |
| 90686 |
|
1,500 |
1,499 |
$8K |
| 92552 |
|
819 |
816 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
165 |
164 |
$6K |
| 96161 |
|
1,645 |
1,633 |
$6K |
| 99173 |
|
796 |
795 |
$5K |
| 96127 |
|
690 |
687 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
312 |
299 |
$3K |
| 99188 |
|
105 |
105 |
$2K |
| 90670 |
|
443 |
440 |
$2K |
| 90698 |
|
377 |
374 |
$1K |
| 0071A |
|
25 |
25 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$726.81 |
| 0072A |
|
17 |
17 |
$697.30 |
| 3008F |
|
71 |
71 |
$620.00 |
| 90633 |
|
146 |
146 |
$609.00 |
| 90651 |
|
101 |
100 |
$399.00 |
| 90734 |
|
39 |
39 |
$266.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$217.56 |
| 90697 |
|
27 |
27 |
$189.00 |
| 90620 |
|
12 |
12 |
$84.00 |
| 90710 |
|
12 |
12 |
$84.00 |
| 90744 |
|
25 |
25 |
$0.00 |