| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,435 |
2,013 |
$194K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
822 |
695 |
$42K |
| 92583 |
|
921 |
883 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
216 |
212 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,665 |
1,516 |
$15K |
| 99174 |
|
1,111 |
1,060 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
66 |
$5K |
| 90686 |
|
127 |
124 |
$1K |
| 96127 |
|
172 |
137 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 90672 |
|
56 |
56 |
$636.18 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35 |
34 |
$298.06 |
| 90688 |
|
16 |
12 |
$225.72 |
| 90700 |
|
13 |
12 |
$143.00 |