| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,002 |
890 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
178 |
178 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
135 |
135 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
79 |
79 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
189 |
179 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
68 |
67 |
$5K |
| 90461 |
|
180 |
180 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
223 |
223 |
$3K |
| 96127 |
|
332 |
317 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
241 |
241 |
$2K |
| 81002 |
|
78 |
74 |
$222.22 |
| 81025 |
|
17 |
13 |
$114.24 |
| 92552 |
|
281 |
281 |
$20.68 |
| 90647 |
|
90 |
90 |
$0.00 |
| 90723 |
|
55 |
55 |
$0.00 |
| 90651 |
|
43 |
43 |
$0.00 |
| 90680 |
|
42 |
42 |
$0.00 |
| 90715 |
|
36 |
36 |
$0.00 |
| 90670 |
|
72 |
72 |
$0.00 |
| 90734 |
|
50 |
50 |
$0.00 |
| 90710 |
|
32 |
32 |
$0.00 |
| 90633 |
|
67 |
67 |
$0.00 |
| 90700 |
|
15 |
15 |
$0.00 |