| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,048 |
17,540 |
$899K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,084 |
2,955 |
$195K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,213 |
2,153 |
$140K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,051 |
2,025 |
$133K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,012 |
4,853 |
$131K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,533 |
1,519 |
$107K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,684 |
1,620 |
$103K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,403 |
4,244 |
$66K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,142 |
3,931 |
$57K |
| 90671 |
|
225 |
198 |
$40K |
| 90461 |
|
1,880 |
1,825 |
$34K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,213 |
2,096 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
985 |
955 |
$32K |
| 90651 |
|
436 |
420 |
$23K |
| 90677 |
|
168 |
158 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
712 |
697 |
$19K |
| 90686 |
|
2,380 |
2,254 |
$14K |
| 90734 |
|
342 |
323 |
$11K |
| 90620 |
|
174 |
169 |
$7K |
| 83655 |
|
1,691 |
1,588 |
$7K |
| 3008F |
|
4,706 |
4,533 |
$7K |
| 90716 |
|
393 |
362 |
$6K |
| 36416 |
|
1,328 |
1,273 |
$6K |
| 99173 |
|
4,539 |
4,459 |
$6K |
| 96127 |
|
2,325 |
2,291 |
$5K |
| 86580 |
|
1,309 |
1,246 |
$5K |
| 90670 |
|
361 |
317 |
$5K |
| 90656 |
|
372 |
369 |
$4K |
| 90707 |
|
315 |
291 |
$2K |
| 90633 |
|
533 |
495 |
$2K |
| 90723 |
|
483 |
440 |
$2K |
| 90697 |
|
16 |
16 |
$2K |
| 90700 |
|
345 |
306 |
$1K |
| 90715 |
|
96 |
89 |
$1K |
| 99383 |
|
15 |
12 |
$911.57 |
| 90648 |
|
616 |
528 |
$634.05 |
| 99381 |
|
12 |
12 |
$616.26 |
| 90713 |
|
113 |
95 |
$382.05 |
| 87400 |
|
83 |
83 |
$307.49 |
| 90685 |
|
14 |
14 |
$290.33 |
| 90681 |
|
137 |
111 |
$130.82 |
| 99000 |
|
2,682 |
2,556 |
$91.14 |
| 90474 |
|
12 |
12 |
$83.45 |
| 99072 |
|
94 |
92 |
$0.00 |
| 99070 |
|
80 |
70 |
$0.00 |