| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
972 |
928 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
592 |
568 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
332 |
330 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
589 |
583 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
296 |
284 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
632 |
625 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
52 |
$4K |
| 92551 |
|
142 |
140 |
$856.05 |
| 99173 |
|
17 |
14 |
$18.96 |
| 90723 |
|
82 |
79 |
$0.00 |
| 90647 |
|
35 |
33 |
$0.00 |
| 90681 |
|
18 |
18 |
$0.00 |
| 90670 |
|
113 |
108 |
$0.00 |