| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,270 |
13,603 |
$1.66M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
749 |
725 |
$106K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,324 |
3,831 |
$101K |
| 92552 |
|
1,656 |
1,653 |
$57K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
462 |
460 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
486 |
484 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
236 |
220 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
185 |
183 |
$20K |
| 90461 |
|
534 |
506 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
159 |
147 |
$10K |
| 92081 |
|
1,138 |
1,134 |
$9K |
| 0071A |
|
94 |
91 |
$4K |
| 90686 |
|
1,785 |
1,773 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 0072A |
|
16 |
16 |
$642.88 |
| 96160 |
|
17 |
17 |
$468.15 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
93 |
92 |
$291.73 |
| 0111A |
|
13 |
13 |
$195.06 |
| 0112A |
|
14 |
14 |
$195.06 |
| 99173 |
|
58 |
56 |
$25.62 |
| 90685 |
|
29 |
29 |
$21.82 |
| 99174 |
|
33 |
33 |
$0.06 |
| 91307 |
|
100 |
97 |
$0.04 |
| 90723 |
|
55 |
54 |
$0.00 |
| 90650 |
|
12 |
12 |
$0.00 |
| 90670 |
|
151 |
145 |
$0.00 |
| 99177 |
|
66 |
66 |
$0.00 |
| 91311 |
|
32 |
32 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |