| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,586 |
2,266 |
$126K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,702 |
2,526 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,000 |
845 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
668 |
655 |
$54K |
| 90461 |
|
1,123 |
1,021 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
164 |
161 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
107 |
99 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
57 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
108 |
99 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
43 |
$1K |
| 96127 |
|
65 |
64 |
$275.17 |
| 99173 |
|
242 |
221 |
$271.43 |
| 92551 |
|
92 |
92 |
$200.77 |
| 90686 |
|
278 |
249 |
$87.85 |
| 90670 |
|
378 |
322 |
$65.19 |
| 90698 |
|
347 |
299 |
$0.04 |
| 90688 |
|
25 |
24 |
$0.01 |
| 90685 |
|
35 |
24 |
$0.00 |
| 90680 |
|
71 |
51 |
$0.00 |
| 90744 |
|
34 |
25 |
$0.00 |