| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
923 |
733 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
459 |
360 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
310 |
249 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
508 |
402 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
315 |
288 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
222 |
193 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
556 |
484 |
$10K |
| 83655 |
|
303 |
254 |
$4K |
| 96127 |
|
241 |
214 |
$4K |
| 90670 |
|
373 |
308 |
$3K |
| 90686 |
|
380 |
319 |
$3K |
| 90723 |
|
257 |
211 |
$2K |
| 90651 |
|
84 |
76 |
$2K |
| 90647 |
|
250 |
200 |
$2K |
| 90680 |
|
232 |
190 |
$1K |
| 99381 |
|
15 |
12 |
$1K |
| 90734 |
|
68 |
61 |
$1K |
| 85018 |
|
339 |
292 |
$774.88 |
| 90633 |
|
86 |
74 |
$550.40 |
| 90698 |
|
28 |
26 |
$179.20 |
| 90620 |
|
12 |
12 |
$76.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
17 |
$0.00 |