| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,917 |
11,537 |
$1.09M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,099 |
6,479 |
$420K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,625 |
2,601 |
$202K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,471 |
2,121 |
$175K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,046 |
2,022 |
$156K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,406 |
3,138 |
$120K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
891 |
871 |
$72K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,456 |
4,392 |
$36K |
| 90670 |
|
1,501 |
1,469 |
$33K |
| 90672 |
|
1,908 |
1,898 |
$32K |
| 90686 |
|
2,571 |
2,552 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,816 |
9,354 |
$19K |
| 90698 |
|
1,085 |
1,059 |
$18K |
| 90716 |
|
666 |
658 |
$14K |
| 90680 |
|
914 |
892 |
$14K |
| 90651 |
|
486 |
480 |
$12K |
| 90633 |
|
731 |
729 |
$10K |
| 90707 |
|
558 |
555 |
$10K |
| 0071A |
|
258 |
251 |
$9K |
| 99050 |
|
751 |
705 |
$9K |
| 0072A |
|
222 |
220 |
$8K |
| 90700 |
|
614 |
602 |
$8K |
| 99173 |
|
3,831 |
3,784 |
$8K |
| 90744 |
|
575 |
556 |
$7K |
| 0004A |
|
160 |
158 |
$6K |
| 90461 |
|
3,217 |
3,125 |
$6K |
| 0001A |
|
142 |
139 |
$5K |
| 0002A |
|
121 |
121 |
$5K |
| 90734 |
|
226 |
224 |
$4K |
| 90619 |
|
124 |
118 |
$4K |
| 90685 |
|
320 |
314 |
$4K |
| 90660 |
|
229 |
225 |
$3K |
| 90715 |
|
164 |
158 |
$2K |
| 90713 |
|
158 |
154 |
$2K |
| 90677 |
|
76 |
75 |
$2K |
| 90671 |
|
64 |
63 |
$2K |
| 0154A |
|
51 |
51 |
$2K |
| 90620 |
|
93 |
89 |
$2K |
| 86580 |
|
248 |
241 |
$2K |
| 99051 |
|
198 |
189 |
$2K |
| 90688 |
|
151 |
151 |
$2K |
| 0124A |
|
37 |
37 |
$1K |
| 90756 |
|
26 |
26 |
$841.62 |
| 90656 |
|
60 |
59 |
$778.84 |
| 90648 |
|
28 |
28 |
$307.70 |
| 99421 |
|
23 |
22 |
$285.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
44 |
44 |
$123.87 |
| 91307 |
|
502 |
449 |
$0.77 |
| 91300 |
|
481 |
457 |
$0.54 |
| 91312 |
|
37 |
37 |
$0.29 |
| 91315 |
|
51 |
51 |
$0.10 |