| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,481 |
5,658 |
$536K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,320 |
3,864 |
$487K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,713 |
2,531 |
$300K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,624 |
2,448 |
$269K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,302 |
2,125 |
$234K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,772 |
1,481 |
$163K |
| 90686 |
|
3,219 |
2,962 |
$66K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,007 |
4,647 |
$31K |
| 99401 |
|
1,470 |
1,107 |
$28K |
| 90698 |
|
1,022 |
926 |
$22K |
| 90744 |
|
975 |
875 |
$20K |
| 90670 |
|
949 |
866 |
$20K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
168 |
158 |
$19K |
| 96127 |
|
3,604 |
3,356 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
322 |
298 |
$15K |
| 90651 |
|
427 |
389 |
$10K |
| 90734 |
|
382 |
367 |
$9K |
| 90633 |
|
321 |
290 |
$7K |
| 90707 |
|
283 |
271 |
$6K |
| 90716 |
|
274 |
258 |
$6K |
| 90619 |
|
147 |
140 |
$3K |
| 90677 |
|
127 |
116 |
$3K |
| 90715 |
|
116 |
110 |
$2K |
| 94760 |
|
1,658 |
1,426 |
$2K |
| 99383 |
|
13 |
13 |
$2K |
| 90681 |
|
59 |
57 |
$1K |
| 99381 |
|
15 |
14 |
$1K |
| 0124A |
|
34 |
25 |
$1K |
| 36406 |
|
19 |
13 |
$237.44 |
| 96160 |
|
47 |
37 |
$83.10 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
580 |
355 |
$20.00 |
| 99072 |
|
26 |
17 |
$0.00 |
| 90461 |
|
130 |
86 |
$0.00 |