| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
914 |
842 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
512 |
466 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
594 |
538 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
743 |
718 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
270 |
268 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
48 |
$3K |
| 99401 |
|
125 |
120 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$2K |
| 99460 |
|
16 |
16 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$956.58 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
14 |
$718.95 |
| 90686 |
|
124 |
124 |
$588.07 |
| 95930 |
|
12 |
12 |
$370.60 |