| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,609 |
7,061 |
$434K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,403 |
1,354 |
$112K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
739 |
739 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
739 |
734 |
$66K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
594 |
568 |
$23K |
| 90700 |
|
1,181 |
1,179 |
$10K |
| 99381 |
|
97 |
97 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
74 |
74 |
$8K |
| 90713 |
|
900 |
900 |
$8K |
| 90648 |
|
720 |
720 |
$6K |
| 90670 |
|
648 |
647 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
52 |
$5K |
| 92551 |
|
376 |
376 |
$4K |
| 90744 |
|
400 |
399 |
$3K |
| 90716 |
|
373 |
373 |
$3K |
| 90707 |
|
369 |
369 |
$3K |
| 90633 |
|
345 |
345 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
30 |
30 |
$2K |
| 99243 |
|
25 |
25 |
$2K |
| 90681 |
|
134 |
134 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$865.06 |
| 90649 |
|
47 |
47 |
$414.00 |
| 90671 |
|
37 |
37 |
$321.39 |
| 90715 |
|
36 |
36 |
$315.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$278.40 |
| 90734 |
|
16 |
16 |
$135.00 |
| 86580 |
|
16 |
16 |
$52.44 |