| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
996 |
943 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
375 |
359 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
258 |
257 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
238 |
233 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
169 |
161 |
$14K |
| 92551 |
|
759 |
742 |
$6K |
| 90686 |
|
456 |
447 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
178 |
174 |
$6K |
| 99173 |
|
796 |
779 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
85 |
70 |
$1K |
| 96127 |
|
390 |
384 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
197 |
191 |
$1K |
| 0001A |
|
13 |
13 |
$440.00 |
| 99177 |
|
93 |
92 |
$322.46 |
| 0002A |
|
17 |
17 |
$80.00 |
| 91300 |
|
17 |
17 |
$0.00 |
| 91307 |
|
15 |
14 |
$0.00 |