| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,807 |
2,441 |
$154K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
474 |
438 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
329 |
296 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
540 |
503 |
$17K |
| 90686 |
|
1,207 |
1,148 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
120 |
110 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
978 |
903 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
66 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,442 |
2,271 |
$4K |
| 90670 |
|
97 |
86 |
$2K |
| 99173 |
|
489 |
465 |
$1K |
| 90685 |
|
106 |
99 |
$1K |
| 90633 |
|
61 |
58 |
$713.44 |
| 90716 |
|
53 |
43 |
$474.02 |
| 90461 |
|
572 |
515 |
$277.40 |
| 90688 |
|
22 |
22 |
$242.00 |
| 90715 |
|
13 |
13 |
$170.29 |
| 90651 |
|
15 |
15 |
$165.00 |