| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,489 |
1,276 |
$100K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
948 |
917 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
449 |
435 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
392 |
389 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
306 |
275 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
75 |
74 |
$3K |
| 99058 |
|
88 |
82 |
$2K |
| 99383 |
|
13 |
12 |
$1K |
| 36416 |
|
143 |
142 |
$627.69 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
70 |
70 |
$495.06 |
| 85018 |
|
143 |
142 |
$288.80 |
| 90723 |
|
170 |
166 |
$0.00 |
| 90680 |
|
38 |
38 |
$0.00 |
| 90716 |
|
28 |
28 |
$0.00 |
| 90698 |
|
39 |
39 |
$0.00 |
| 90633 |
|
111 |
109 |
$0.00 |
| 90658 |
|
118 |
116 |
$0.00 |
| 90670 |
|
382 |
377 |
$0.00 |
| 90707 |
|
28 |
28 |
$0.00 |
| 90648 |
|
280 |
277 |
$0.00 |
| 90655 |
|
82 |
82 |
$0.00 |