| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,703 |
7,975 |
$448K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
907 |
889 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
730 |
721 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
425 |
414 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
722 |
618 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
315 |
284 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
216 |
205 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,474 |
1,447 |
$14K |
| 81002 |
|
1,233 |
1,201 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
271 |
250 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$951.71 |
| 92551 |
|
436 |
355 |
$205.03 |
| 90670 |
|
117 |
111 |
$120.00 |
| 90698 |
|
49 |
49 |
$60.00 |
| 90700 |
|
16 |
12 |
$40.00 |
| 90620 |
|
47 |
41 |
$10.00 |
| 90633 |
|
60 |
53 |
$10.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,034 |
896 |
$0.00 |
| 90716 |
|
22 |
13 |
$0.00 |
| 97803 |
|
117 |
117 |
$0.00 |
| 90658 |
|
12 |
12 |
$0.00 |
| 99173 |
|
414 |
334 |
$0.00 |
| 90707 |
|
22 |
13 |
$0.00 |