| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,062 |
8,426 |
$285K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,236 |
1,885 |
$92K |
| 99385 |
|
543 |
486 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,641 |
1,487 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
388 |
342 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
299 |
288 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
185 |
167 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
188 |
178 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
161 |
137 |
$9K |
| H0049 |
Alcohol and/or drug screening |
1,353 |
1,147 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
100 |
88 |
$7K |
| 99386 |
|
118 |
89 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
930 |
798 |
$2K |
| 3078F |
|
222 |
202 |
$0.00 |
| 3077F |
|
200 |
158 |
$0.00 |
| 90713 |
|
107 |
91 |
$0.00 |
| 90700 |
|
181 |
157 |
$0.00 |
| 90648 |
|
18 |
13 |
$0.00 |
| 96160 |
|
29 |
25 |
$0.00 |
| 3080F |
|
46 |
36 |
$0.00 |
| 3074F |
|
146 |
133 |
$0.00 |
| 90686 |
|
41 |
40 |
$0.00 |
| 3079F |
|
27 |
25 |
$0.00 |