| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
235 |
225 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
99 |
99 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
91 |
90 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
29 |
$1K |
| 90670 |
|
75 |
74 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$952.11 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
108 |
107 |
$920.26 |
| 90648 |
|
69 |
68 |
$748.08 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$650.64 |
| 90723 |
|
44 |
44 |
$614.74 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
230 |
229 |
$498.82 |
| 90686 |
|
38 |
38 |
$433.74 |
| 83655 |
|
29 |
29 |
$425.43 |
| 90461 |
|
125 |
124 |
$329.60 |
| 90681 |
|
14 |
14 |
$254.90 |
| 99173 |
|
93 |
89 |
$222.74 |
| 90633 |
|
12 |
12 |
$154.63 |
| 85018 |
|
34 |
34 |
$97.92 |
| 96127 |
|
20 |
18 |
$90.36 |
| 36416 |
|
36 |
36 |
$38.52 |
| 99000 |
|
15 |
13 |
$0.00 |