| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
479 |
429 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
506 |
481 |
$28K |
| 99443 |
|
595 |
324 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
233 |
229 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
196 |
189 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$857.12 |
| 81002 |
|
259 |
245 |
$255.51 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$62.43 |
| 90686 |
|
58 |
56 |
$16.59 |
| 85018 |
|
312 |
304 |
$2.92 |
| 99173 |
|
194 |
185 |
$0.00 |
| 90658 |
|
69 |
69 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$0.00 |
| 92551 |
|
196 |
190 |
$0.00 |
| 94760 |
|
13 |
12 |
$0.00 |