| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,665 |
4,032 |
$522K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,289 |
2,081 |
$214K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
551 |
516 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
72 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
17 |
$766.32 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$751.93 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
38 |
$628.48 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34 |
33 |
$0.00 |
| 90461 |
|
15 |
14 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
14 |
12 |
$0.00 |