| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,819 |
1,668 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
391 |
374 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
459 |
455 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,396 |
1,358 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
184 |
174 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
558 |
526 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
121 |
103 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
123 |
111 |
$8K |
| 99460 |
|
103 |
102 |
$6K |
| 85018 |
|
1,464 |
1,419 |
$3K |
| 92551 |
|
323 |
317 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
38 |
38 |
$2K |
| 99462 |
|
12 |
12 |
$263.99 |
| 96127 |
|
91 |
88 |
$255.48 |
| 83655 |
|
20 |
18 |
$213.93 |
| 99441 |
|
16 |
15 |
$128.07 |
| 96160 |
|
12 |
12 |
$25.57 |
| 36416 |
|
98 |
98 |
$20.00 |
| 99173 |
|
392 |
379 |
$0.00 |
| 90461 |
|
100 |
88 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90686 |
|
23 |
23 |
$0.00 |