| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,749 |
1,667 |
$98K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
367 |
344 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
282 |
281 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
266 |
258 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
188 |
188 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
94 |
93 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
121 |
117 |
$2K |
| 90461 |
|
61 |
56 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
27 |
$691.20 |
| 92551 |
|
217 |
216 |
$588.99 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$245.60 |
| 99173 |
|
215 |
214 |
$142.02 |
| 90670 |
|
112 |
107 |
$0.00 |
| 90671 |
|
18 |
17 |
$0.00 |
| 90633 |
|
24 |
24 |
$0.00 |
| 90698 |
|
92 |
90 |
$0.00 |
| 90744 |
|
30 |
29 |
$0.00 |