| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,302 |
4,014 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,431 |
4,146 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,095 |
1,087 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
574 |
573 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
303 |
297 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,679 |
3,606 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
215 |
215 |
$8K |
| 92552 |
|
1,833 |
1,828 |
$8K |
| 90461 |
|
1,298 |
1,294 |
$4K |
| 99173 |
|
1,813 |
1,810 |
$4K |
| G9920 |
Screening performed and negative |
180 |
177 |
$4K |
| 90686 |
|
1,124 |
1,118 |
$4K |
| 96156 |
|
946 |
933 |
$3K |
| 96160 |
|
794 |
729 |
$2K |
| 90670 |
|
334 |
328 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
257 |
251 |
$2K |
| 99442 |
|
56 |
51 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
97 |
89 |
$1K |
| 0072A |
|
30 |
30 |
$1K |
| 86580 |
|
215 |
211 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
102 |
99 |
$918.95 |
| 90647 |
|
145 |
139 |
$454.13 |
| 90661 |
|
61 |
61 |
$342.00 |
| 90672 |
|
76 |
76 |
$265.83 |
| 90685 |
|
63 |
63 |
$199.54 |
| 90651 |
|
68 |
65 |
$166.66 |
| 90723 |
|
40 |
39 |
$164.26 |
| 90688 |
|
12 |
12 |
$45.00 |
| 99188 |
|
12 |
12 |
$17.82 |
| 99441 |
|
115 |
110 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90480 |
|
16 |
16 |
$0.00 |
| 3008F |
|
21 |
21 |
$0.00 |
| 97802 |
|
25 |
23 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90633 |
|
80 |
80 |
$0.00 |