| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,142 |
810 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
993 |
755 |
$41K |
| 94760 |
|
2,059 |
1,388 |
$7K |
| 99173 |
|
559 |
408 |
$4K |
| 81002 |
|
1,761 |
1,271 |
$4K |
| 85018 |
|
1,089 |
747 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
15 |
$2K |
| 85014 |
|
1,058 |
728 |
$2K |
| 90686 |
|
172 |
119 |
$2K |
| 81025 |
|
640 |
405 |
$1K |
| 82465 |
|
473 |
320 |
$1K |
| 82962 |
|
978 |
681 |
$1K |
| 83655 |
|
88 |
66 |
$936.94 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
36 |
25 |
$562.45 |
| 86580 |
|
143 |
98 |
$449.76 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
133 |
100 |
$320.00 |
| 86803 |
|
19 |
15 |
$269.60 |
| 87806 |
|
17 |
12 |
$196.60 |