| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,846 |
7,019 |
$320K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
645 |
597 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
570 |
548 |
$30K |
| 99215 |
Prolong outpt/office vis |
386 |
332 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
347 |
334 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
236 |
222 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
142 |
136 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,171 |
1,121 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,398 |
1,012 |
$8K |
| 90461 |
|
3,285 |
987 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
48 |
$1K |
| 90713 |
|
732 |
683 |
$0.02 |
| 90707 |
|
31 |
30 |
$0.00 |
| 90700 |
|
744 |
700 |
$0.00 |
| 90670 |
|
511 |
475 |
$0.00 |
| 90647 |
|
535 |
494 |
$0.00 |
| 90716 |
|
45 |
42 |
$0.00 |
| 90744 |
|
51 |
48 |
$0.00 |