| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,273 |
2,803 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,231 |
1,966 |
$118K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
727 |
707 |
$59K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,397 |
1,502 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
410 |
393 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
407 |
383 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,002 |
953 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
71 |
71 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
44 |
$4K |
| 90461 |
|
1,058 |
854 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
30 |
$340.00 |
| 94760 |
|
120 |
98 |
$190.13 |
| 90686 |
|
310 |
298 |
$0.00 |
| 90677 |
|
54 |
53 |
$0.00 |
| 90656 |
|
30 |
29 |
$0.00 |
| 90670 |
|
211 |
205 |
$0.00 |
| 90633 |
|
55 |
55 |
$0.00 |
| 90648 |
|
59 |
57 |
$0.00 |
| 90671 |
|
16 |
16 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90672 |
|
26 |
26 |
$0.00 |