| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
853 |
773 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
557 |
535 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
507 |
476 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
965 |
908 |
$47K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,073 |
2,015 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
296 |
291 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
264 |
258 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
101 |
101 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
240 |
235 |
$2K |
| 99384 |
|
17 |
17 |
$2K |
| 90461 |
|
764 |
654 |
$1K |
| 85018 |
|
443 |
423 |
$405.85 |
| 81002 |
|
319 |
287 |
$306.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$190.00 |
| 82948 |
|
78 |
70 |
$157.29 |
| 90651 |
|
119 |
119 |
$109.51 |
| 90633 |
|
186 |
179 |
$93.38 |
| 81025 |
|
28 |
24 |
$89.76 |
| 90686 |
|
537 |
529 |
$35.94 |
| 96127 |
|
1,200 |
990 |
$9.40 |
| 92551 |
|
1,233 |
1,020 |
$7.68 |
| 1159F |
|
483 |
446 |
$0.00 |
| 99177 |
|
1,367 |
1,127 |
$0.00 |
| 90670 |
|
227 |
213 |
$0.00 |
| 3078F |
|
370 |
326 |
$0.00 |
| 1160F |
|
500 |
461 |
$0.00 |
| 4035F |
|
78 |
76 |
$0.00 |
| 3725F |
|
100 |
89 |
$0.00 |
| 3511F |
|
72 |
67 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |
| 2000F |
|
2,263 |
1,866 |
$0.00 |
| 3074F |
|
609 |
566 |
$0.00 |
| 2010F |
|
3,437 |
3,202 |
$0.00 |
| 99000 |
|
291 |
226 |
$0.00 |
| 2001F |
|
3,758 |
3,126 |
$0.00 |
| 36416 |
|
196 |
180 |
$0.00 |
| 3008F |
|
2,372 |
1,970 |
$0.00 |
| 90697 |
|
117 |
113 |
$0.00 |
| 1220F |
|
49 |
45 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 1126F |
|
356 |
326 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 3079F |
|
41 |
39 |
$0.00 |
| 90677 |
|
39 |
38 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |