| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,891 |
6,139 |
$404K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,167 |
2,620 |
$212K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
934 |
876 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
629 |
590 |
$48K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,511 |
2,353 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
398 |
378 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,018 |
1,867 |
$28K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,182 |
1,076 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
429 |
403 |
$18K |
| 99215 |
Prolong outpt/office vis |
137 |
125 |
$14K |
| 90686 |
|
610 |
581 |
$4K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 90698 |
|
255 |
250 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
16 |
$1K |
| 90670 |
|
401 |
372 |
$1K |
| 90473 |
|
64 |
63 |
$1K |
| 90474 |
|
50 |
38 |
$418.25 |
| 90680 |
|
130 |
114 |
$158.50 |
| 90744 |
|
16 |
16 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |
| 90685 |
|
143 |
133 |
$0.00 |
| 90710 |
|
33 |
28 |
$0.00 |
| 90633 |
|
27 |
27 |
$0.00 |