| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,305 |
5,617 |
$314K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
833 |
734 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
470 |
369 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
378 |
328 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
461 |
366 |
$13K |
| 90461 |
|
216 |
210 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
115 |
89 |
$7K |
| 99215 |
Prolong outpt/office vis |
44 |
39 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
78 |
70 |
$1K |
| 96127 |
|
293 |
249 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
29 |
$932.40 |
| 90670 |
|
188 |
179 |
$548.21 |
| 90681 |
|
55 |
53 |
$213.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$179.24 |
| 96161 |
|
34 |
18 |
$78.59 |
| 90723 |
|
143 |
137 |
$70.72 |
| 90647 |
|
107 |
103 |
$22.77 |
| 90686 |
|
24 |
24 |
$21.52 |
| 3008F |
|
26 |
26 |
$0.00 |