| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,095 |
2,884 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,777 |
6,850 |
$115K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,018 |
3,934 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,288 |
1,283 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
834 |
833 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
870 |
868 |
$47K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,094 |
2,088 |
$34K |
| 90461 |
|
959 |
954 |
$17K |
| 92553 |
|
688 |
684 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
129 |
129 |
$8K |
| 90686 |
|
483 |
454 |
$2K |
| 99173 |
|
895 |
889 |
$2K |
| 90734 |
|
74 |
74 |
$2K |
| 3008F |
|
375 |
371 |
$2K |
| 92552 |
|
111 |
111 |
$2K |
| 99354 |
|
26 |
25 |
$1K |
| 90620 |
|
13 |
13 |
$629.22 |
| 90670 |
|
34 |
31 |
$452.86 |
| 90651 |
|
12 |
12 |
$414.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
24 |
$305.89 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
28 |
28 |
$292.14 |
| 81000 |
|
280 |
280 |
$149.62 |
| 90715 |
|
12 |
12 |
$47.83 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$29.99 |
| 81002 |
|
23 |
15 |
$8.60 |
| 90698 |
|
12 |
12 |
$0.00 |
| 99080 |
|
20 |
16 |
$0.00 |
| 99072 |
|
14 |
14 |
$0.00 |