| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
272 |
260 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
393 |
351 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
74 |
74 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
83 |
82 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
69 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
178 |
173 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
62 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
52 |
49 |
$544.90 |
| 99173 |
|
150 |
149 |
$263.06 |
| 99188 |
|
12 |
12 |
$164.52 |
| 96160 |
|
16 |
15 |
$82.07 |
| 90698 |
|
20 |
20 |
$0.00 |
| 90680 |
|
19 |
19 |
$0.00 |
| 94760 |
|
512 |
446 |
$0.00 |
| 90670 |
|
34 |
31 |
$0.00 |