| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
541 |
489 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
178 |
176 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
386 |
376 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
109 |
109 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
89 |
89 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
71 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
27 |
$2K |
| 3008F |
|
452 |
447 |
$2K |
| 99188 |
|
60 |
60 |
$1K |
| 92587 |
|
37 |
37 |
$904.84 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
105 |
98 |
$720.72 |
| 90461 |
|
24 |
24 |
$588.20 |
| 36416 |
|
17 |
16 |
$150.00 |
| 96127 |
|
39 |
39 |
$88.88 |
| 83655 |
|
13 |
13 |
$58.16 |
| 90686 |
|
41 |
40 |
$19.38 |
| 99403 |
|
212 |
212 |
$0.00 |
| 99402 |
|
31 |
31 |
$0.00 |
| 99401 |
|
37 |
36 |
$0.00 |