| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,187 |
2,534 |
$185K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
945 |
845 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
874 |
732 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
508 |
460 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
732 |
573 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,666 |
3,125 |
$20K |
| 90698 |
|
372 |
315 |
$5K |
| 90670 |
|
261 |
206 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
977 |
723 |
$2K |
| 90658 |
|
106 |
92 |
$1K |
| 90707 |
|
115 |
92 |
$675.12 |
| 90716 |
|
117 |
95 |
$675.12 |
| 90700 |
|
84 |
62 |
$605.28 |
| 90713 |
|
61 |
49 |
$488.88 |
| 90734 |
|
28 |
24 |
$256.08 |
| 92081 |
|
199 |
149 |
$166.85 |
| 81000 |
|
109 |
91 |
$16.00 |
| 90715 |
|
15 |
12 |
$0.00 |
| 99402 |
|
444 |
360 |
$0.00 |