| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,680 |
12,117 |
$1.19M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,073 |
896 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
492 |
464 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
483 |
383 |
$37K |
| 0502F |
|
740 |
355 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,733 |
1,508 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
340 |
326 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
365 |
295 |
$25K |
| 90686 |
|
899 |
760 |
$13K |
| 99173 |
|
1,243 |
1,143 |
$9K |
| 90688 |
|
536 |
492 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
117 |
106 |
$3K |
| 81003 |
|
863 |
401 |
$2K |
| 90685 |
|
207 |
175 |
$2K |
| 90670 |
|
121 |
100 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
273 |
237 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 90651 |
|
53 |
51 |
$907.45 |
| 96160 |
|
32 |
30 |
$452.60 |
| 90680 |
|
48 |
38 |
$437.08 |
| 90661 |
|
12 |
12 |
$200.52 |
| 90698 |
|
20 |
16 |
$153.60 |
| 90672 |
|
21 |
21 |
$134.40 |
| 90633 |
|
14 |
12 |
$83.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
202 |
171 |
$15.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
95 |
90 |
$7.50 |