| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,250 |
9,055 |
$587K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,556 |
1,421 |
$100K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,795 |
2,678 |
$86K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
804 |
793 |
$65K |
| 90461 |
|
1,461 |
1,349 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
673 |
653 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
658 |
656 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
314 |
310 |
$26K |
| 99215 |
Prolong outpt/office vis |
286 |
270 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
107 |
106 |
$4K |
| 99442 |
|
66 |
55 |
$2K |
| 94760 |
|
1,988 |
1,719 |
$2K |
| 81002 |
|
541 |
532 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$366.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
79 |
75 |
$76.82 |
| 90670 |
|
186 |
177 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90686 |
|
353 |
310 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90651 |
|
16 |
14 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |