| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,012 |
7,729 |
$518K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,343 |
3,109 |
$267K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,220 |
5,525 |
$243K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,867 |
1,730 |
$157K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,178 |
1,940 |
$156K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,039 |
1,806 |
$155K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
819 |
769 |
$75K |
| 99381 |
|
207 |
203 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
603 |
514 |
$14K |
| 99173 |
|
3,276 |
3,015 |
$8K |
| 90670 |
|
961 |
844 |
$886.76 |
| 90723 |
|
691 |
615 |
$627.89 |
| 90647 |
|
599 |
516 |
$610.92 |
| 90680 |
|
626 |
554 |
$577.36 |
| 90710 |
|
149 |
122 |
$407.28 |
| 90633 |
|
365 |
326 |
$237.58 |
| 90700 |
|
88 |
64 |
$135.76 |
| 90696 |
|
21 |
13 |
$118.79 |
| 90686 |
|
313 |
295 |
$47.29 |
| 90657 |
|
80 |
73 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 90651 |
|
18 |
12 |
$0.00 |
| 90658 |
|
99 |
96 |
$0.00 |
| 90648 |
|
76 |
73 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90734 |
|
52 |
40 |
$0.00 |