| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,927 |
5,926 |
$323K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,768 |
1,267 |
$134K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,614 |
1,227 |
$120K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,207 |
937 |
$99K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,228 |
1,031 |
$92K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
916 |
727 |
$63K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,745 |
2,229 |
$44K |
| 96160 |
|
1,788 |
1,428 |
$24K |
| 96127 |
|
954 |
809 |
$14K |
| S9470 |
Nutritional counseling, dietitian visit |
1,670 |
1,373 |
$14K |
| 90670 |
|
676 |
530 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
579 |
559 |
$7K |
| 90648 |
|
641 |
498 |
$7K |
| 90686 |
|
616 |
591 |
$6K |
| 90723 |
|
378 |
300 |
$4K |
| 90680 |
|
235 |
188 |
$2K |
| 90734 |
|
188 |
133 |
$2K |
| 90716 |
|
98 |
61 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 99383 |
|
15 |
14 |
$1K |
| 90707 |
|
69 |
43 |
$781.44 |
| 90633 |
|
66 |
37 |
$753.81 |
| 90685 |
|
13 |
13 |
$83.20 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,155 |
1,035 |
$0.02 |
| 90461 |
|
22 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
324 |
217 |
$0.00 |