| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,964 |
4,974 |
$61K |
| 90686 |
|
366 |
365 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
413 |
411 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
537 |
528 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
86 |
86 |
$3K |
| 90461 |
|
512 |
507 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,233 |
1,214 |
$2K |
| 92081 |
|
285 |
284 |
$2K |
| 92551 |
|
287 |
286 |
$2K |
| 90700 |
|
14 |
14 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
149 |
149 |
$1K |
| 90677 |
|
13 |
13 |
$1K |
| 90670 |
|
93 |
93 |
$912.43 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
35 |
$638.17 |
| 90716 |
|
32 |
32 |
$263.81 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
102 |
100 |
$249.78 |
| 90698 |
|
68 |
60 |
$221.63 |
| 99446 |
|
24 |
23 |
$167.50 |
| 96127 |
|
40 |
40 |
$75.01 |
| 90707 |
|
33 |
33 |
$0.00 |