| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,359 |
1,258 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
751 |
682 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
301 |
292 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
257 |
253 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,019 |
989 |
$20K |
| 99205 |
Prolong outpt/office vis |
98 |
97 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
154 |
148 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
242 |
239 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
316 |
308 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
36 |
36 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
498 |
492 |
$3K |
| 94010 |
|
29 |
24 |
$1K |
| 92562 |
|
13 |
13 |
$454.00 |
| 92283 |
|
30 |
30 |
$280.00 |
| 93000 |
|
13 |
13 |
$135.39 |
| V5008 |
Hearing screening |
13 |
13 |
$90.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
13 |
13 |
$12.83 |
| 90655 |
|
65 |
64 |
$0.00 |
| 90670 |
|
71 |
71 |
$0.00 |
| 90649 |
|
50 |
49 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |
| 90734 |
|
45 |
45 |
$0.00 |
| 90656 |
|
440 |
436 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |