| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,132 |
1,082 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,095 |
1,047 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
495 |
495 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,096 |
1,079 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
205 |
199 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
179 |
179 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
570 |
567 |
$5K |
| 92081 |
|
442 |
442 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
40 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
151 |
150 |
$2K |
| 81002 |
|
618 |
614 |
$2K |
| 87430 |
|
47 |
47 |
$640.32 |
| 85018 |
|
28 |
27 |
$69.89 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
646 |
646 |
$2.20 |
| 90698 |
|
51 |
51 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 90686 |
|
53 |
53 |
$0.00 |
| 90670 |
|
159 |
157 |
$0.00 |
| 90633 |
|
99 |
98 |
$0.00 |
| 90461 |
|
388 |
385 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 99173 |
|
38 |
38 |
$0.00 |
| 90685 |
|
16 |
16 |
$0.00 |