| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,851 |
17,356 |
$923K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,103 |
1,087 |
$84K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,341 |
1,288 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
886 |
859 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
821 |
783 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
650 |
616 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,877 |
2,727 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
219 |
205 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
987 |
825 |
$7K |
| 90461 |
|
3,629 |
1,665 |
$6K |
| 0071A |
|
88 |
85 |
$3K |
| 0072A |
|
66 |
66 |
$3K |
| T1015 |
Clinic visit/encounter, all-inclusive |
440 |
320 |
$2K |
| 92558 |
|
280 |
269 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
191 |
180 |
$2K |
| 92587 |
|
197 |
185 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 99381 |
|
13 |
12 |
$929.61 |
| 99384 |
|
17 |
17 |
$892.36 |
| 90473 |
|
275 |
258 |
$752.64 |
| 96160 |
|
535 |
486 |
$723.97 |
| 99051 |
|
580 |
531 |
$567.72 |
| 96161 |
|
1,391 |
1,332 |
$469.69 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
13 |
$133.28 |
| 90686 |
|
727 |
702 |
$18.24 |
| 90734 |
|
161 |
157 |
$0.03 |
| 90670 |
|
1,010 |
955 |
$0.00 |
| 90649 |
|
141 |
133 |
$0.00 |
| 90633 |
|
364 |
355 |
$0.00 |
| 90710 |
|
183 |
179 |
$0.00 |
| 90700 |
|
135 |
134 |
$0.00 |
| 90648 |
|
40 |
40 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |
| 90707 |
|
15 |
14 |
$0.00 |
| 90680 |
|
620 |
590 |
$0.00 |
| 90744 |
|
247 |
239 |
$0.00 |
| 90698 |
|
626 |
596 |
$0.00 |
| 90647 |
|
136 |
126 |
$0.00 |
| 90696 |
|
16 |
16 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
99 |
91 |
$0.00 |
| 90723 |
|
17 |
13 |
$0.00 |
| 90716 |
|
17 |
16 |
$0.00 |