| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,556 |
1,309 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
317 |
305 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
932 |
890 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
131 |
131 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
49 |
42 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
62 |
$2K |
| 92551 |
|
340 |
340 |
$2K |
| 99422 |
|
51 |
49 |
$1K |
| 81002 |
|
300 |
299 |
$596.00 |
| 99401 |
|
1,008 |
974 |
$178.81 |
| 96161 |
|
19 |
19 |
$36.67 |
| 99173 |
|
452 |
451 |
$0.00 |
| 90461 |
|
92 |
91 |
$0.00 |
| 90670 |
|
28 |
28 |
$0.00 |
| 90685 |
|
71 |
71 |
$0.00 |
| 90634 |
|
12 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
720 |
714 |
$0.00 |
| 90686 |
|
224 |
224 |
$0.00 |
| 99172 |
|
95 |
95 |
$0.00 |
| 92560 |
|
64 |
64 |
$0.00 |