| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,810 |
1,624 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,332 |
2,146 |
$106K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
505 |
500 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,411 |
1,399 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
302 |
301 |
$15K |
| 97802 |
|
1,124 |
1,114 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
683 |
671 |
$10K |
| 99401 |
|
392 |
378 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
99 |
99 |
$4K |
| 0071A |
|
25 |
18 |
$817.68 |
| 90461 |
|
89 |
89 |
$570.07 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
49 |
49 |
$557.45 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
45 |
45 |
$527.10 |
| 90686 |
|
404 |
404 |
$338.28 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
62 |
62 |
$265.17 |
| 91307 |
|
23 |
16 |
$1.20 |