| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,907 |
6,228 |
$485K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,445 |
2,205 |
$178K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,086 |
2,075 |
$172K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,572 |
1,522 |
$156K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,069 |
4,023 |
$117K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
385 |
385 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,159 |
1,148 |
$14K |
| D0190 |
|
393 |
389 |
$6K |
| 99188 |
|
698 |
697 |
$6K |
| 99383 |
|
59 |
59 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
32 |
$3K |
| 99382 |
|
26 |
26 |
$3K |
| 99381 |
|
13 |
13 |
$1K |
| 96127 |
|
164 |
163 |
$473.96 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,179 |
2,162 |
$125.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
16 |
16 |
$104.23 |
| 90716 |
|
738 |
735 |
$0.00 |
| 90744 |
|
288 |
286 |
$0.00 |
| 90698 |
|
881 |
872 |
$0.00 |
| 90680 |
|
893 |
883 |
$0.00 |
| 90696 |
|
110 |
110 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90697 |
|
74 |
73 |
$0.00 |
| 90686 |
|
33 |
33 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90461 |
|
2,705 |
2,681 |
$0.00 |
| 90707 |
|
778 |
778 |
$0.00 |
| 90633 |
|
716 |
713 |
$0.00 |
| 90670 |
|
1,606 |
1,589 |
$0.00 |
| 99173 |
|
16 |
16 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90685 |
|
16 |
16 |
$0.00 |