| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,696 |
1,385 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
793 |
642 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
944 |
792 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,783 |
1,568 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
915 |
795 |
$6K |
| 92552 |
|
224 |
211 |
$5K |
| 96127 |
|
890 |
779 |
$2K |
| 90686 |
|
531 |
497 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
27 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$735.18 |
| 96160 |
|
37 |
37 |
$76.15 |
| 99173 |
|
22 |
20 |
$17.02 |