| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,147 |
10,102 |
$731K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,229 |
2,215 |
$190K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,836 |
1,773 |
$127K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,188 |
1,183 |
$98K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,889 |
3,842 |
$93K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
540 |
540 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
266 |
263 |
$28K |
| 92551 |
|
1,890 |
1,875 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
172 |
169 |
$7K |
| 97803 |
|
2,393 |
2,386 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
207 |
205 |
$2K |
| 0073A |
|
12 |
12 |
$425.99 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
24 |
24 |
$155.97 |
| 90688 |
|
305 |
305 |
$57.49 |
| 98966 |
|
265 |
256 |
$49.87 |
| G9007 |
Coordinated care fee, scheduled team conference |
497 |
466 |
$0.13 |
| G9002 |
Coordinated care fee, maintenance rate |
109 |
109 |
$0.11 |
| 90677 |
|
14 |
14 |
$0.02 |
| 90686 |
|
47 |
47 |
$0.00 |
| 90698 |
|
333 |
322 |
$0.00 |
| 90647 |
|
297 |
293 |
$0.00 |
| 90716 |
|
164 |
162 |
$0.00 |
| 90723 |
|
52 |
49 |
$0.00 |
| 90744 |
|
15 |
15 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90461 |
|
2,145 |
2,110 |
$0.00 |
| 99173 |
|
2,236 |
2,220 |
$0.00 |
| 90670 |
|
1,160 |
1,134 |
$0.00 |
| 90681 |
|
201 |
188 |
$0.00 |
| 90734 |
|
44 |
44 |
$0.00 |
| 90633 |
|
245 |
245 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90707 |
|
189 |
187 |
$0.00 |
| 90649 |
|
108 |
108 |
$0.00 |
| 90658 |
|
99 |
98 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |