| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,129 |
8,819 |
$310K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,335 |
3,308 |
$291K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,013 |
5,916 |
$286K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,602 |
3,576 |
$285K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,353 |
2,337 |
$177K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,424 |
4,782 |
$134K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
846 |
829 |
$61K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
857 |
833 |
$53K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
320 |
317 |
$17K |
| 99000 |
|
1,808 |
1,745 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,934 |
1,913 |
$15K |
| 90461 |
|
3,811 |
2,906 |
$10K |
| 99383 |
|
108 |
108 |
$9K |
| 99382 |
|
81 |
80 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
315 |
313 |
$7K |
| 99381 |
|
82 |
81 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
69 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
503 |
495 |
$4K |
| 99384 |
|
40 |
40 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
140 |
133 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$875.49 |
| 81025 |
|
111 |
106 |
$432.65 |
| 90734 |
|
1,055 |
1,049 |
$0.85 |
| 90620 |
|
363 |
356 |
$0.80 |
| 90677 |
|
304 |
302 |
$0.78 |
| 90632 |
|
161 |
155 |
$0.74 |
| 90733 |
|
177 |
169 |
$0.49 |
| 90651 |
|
1,004 |
994 |
$0.35 |
| 90715 |
|
511 |
509 |
$0.27 |
| 90658 |
|
357 |
353 |
$0.24 |
| 90649 |
|
249 |
237 |
$0.06 |
| 90633 |
|
659 |
657 |
$0.03 |
| 90713 |
|
1,599 |
1,571 |
$0.02 |
| 90707 |
|
951 |
934 |
$0.02 |
| 90716 |
|
938 |
922 |
$0.01 |
| 90700 |
|
1,983 |
1,953 |
$0.00 |
| 90648 |
|
1,445 |
1,420 |
$0.00 |
| 90670 |
|
1,103 |
1,081 |
$0.00 |
| 90714 |
|
54 |
50 |
$0.00 |
| 90680 |
|
361 |
355 |
$0.00 |
| 90744 |
|
621 |
611 |
$0.00 |