| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,328 |
9,952 |
$704K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,522 |
2,919 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
914 |
844 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
682 |
628 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
566 |
534 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
496 |
464 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
157 |
138 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,396 |
1,299 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
29 |
$2K |
| 81002 |
|
1,590 |
1,508 |
$2K |
| 99188 |
|
39 |
38 |
$612.22 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,445 |
1,163 |
$554.67 |
| 97803 |
|
310 |
302 |
$128.36 |
| 99000 |
|
1,152 |
931 |
$97.56 |
| 90620 |
|
59 |
31 |
$70.00 |
| 92587 |
|
16 |
16 |
$28.36 |
| 92551 |
|
1,500 |
1,232 |
$17.59 |
| 99173 |
|
1,423 |
1,159 |
$0.00 |
| 90658 |
|
63 |
62 |
$0.00 |
| 99174 |
|
19 |
16 |
$0.00 |