| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,502 |
3,749 |
$219K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,960 |
1,434 |
$160K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,106 |
1,560 |
$159K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,810 |
1,270 |
$139K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,959 |
1,371 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
952 |
779 |
$76K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,659 |
2,584 |
$59K |
| 92558 |
|
4,862 |
3,643 |
$57K |
| 99173 |
|
5,299 |
3,849 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,858 |
473 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
597 |
423 |
$15K |
| 99381 |
|
111 |
82 |
$10K |
| 96127 |
|
520 |
461 |
$9K |
| 90700 |
|
1,152 |
590 |
$7K |
| 96160 |
|
518 |
336 |
$6K |
| 90713 |
|
732 |
400 |
$5K |
| 90670 |
|
709 |
390 |
$4K |
| 97803 |
|
1,438 |
945 |
$3K |
| 90656 |
|
650 |
402 |
$2K |
| 90648 |
|
391 |
230 |
$2K |
| 92587 |
|
124 |
84 |
$1K |
| 90649 |
|
164 |
65 |
$1K |
| 90716 |
|
95 |
57 |
$799.72 |
| 90734 |
|
53 |
17 |
$506.60 |
| 90707 |
|
75 |
42 |
$427.53 |
| 90461 |
|
1,304 |
193 |
$384.27 |
| 90633 |
|
37 |
25 |
$223.40 |
| 90647 |
|
29 |
15 |
$160.00 |
| 99174 |
|
19 |
18 |
$141.55 |
| 90744 |
|
17 |
12 |
$126.80 |
| 90715 |
|
13 |
12 |
$57.60 |
| 3725F |
|
177 |
68 |
$0.00 |
| 99408 |
|
221 |
95 |
$0.00 |
| 97802 |
|
24 |
24 |
$0.00 |