| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,740 |
1,650 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
131 |
130 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
253 |
248 |
$8K |
| 99441 |
|
212 |
205 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
36 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
67 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$838.12 |
| 92551 |
|
37 |
37 |
$223.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$108.16 |
| 99173 |
|
15 |
15 |
$37.80 |
| 90734 |
|
43 |
42 |
$0.00 |
| 90633 |
|
19 |
18 |
$0.00 |
| 90686 |
|
34 |
33 |
$0.00 |
| 90651 |
|
19 |
18 |
$0.00 |