| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
235 |
229 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66 |
64 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
49 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
83 |
82 |
$3K |
| S9470 |
Nutritional counseling, dietitian visit |
60 |
60 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
51 |
51 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$1K |
| 92551 |
|
26 |
26 |
$204.48 |
| 96160 |
|
82 |
82 |
$203.79 |
| 96127 |
|
32 |
32 |
$134.12 |
| 99188 |
|
12 |
12 |
$126.76 |
| 99173 |
|
47 |
46 |
$85.62 |
| 99000 |
|
13 |
12 |
$21.20 |