| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,796 |
2,552 |
$202K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
782 |
774 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
848 |
790 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
592 |
553 |
$56K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,943 |
1,858 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
278 |
278 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,376 |
1,352 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
303 |
294 |
$14K |
| 90671 |
|
43 |
40 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
61 |
61 |
$5K |
| 99177 |
|
368 |
367 |
$1K |
| 96127 |
|
42 |
40 |
$158.72 |
| 81002 |
|
30 |
28 |
$83.23 |
| 90698 |
|
37 |
37 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
465 |
464 |
$0.00 |
| 90680 |
|
104 |
103 |
$0.00 |
| 90716 |
|
56 |
56 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
174 |
173 |
$0.00 |
| 90686 |
|
81 |
76 |
$0.00 |
| 90656 |
|
31 |
31 |
$0.00 |
| 98967 |
|
14 |
12 |
$0.00 |
| 90697 |
|
97 |
96 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90670 |
|
435 |
430 |
$0.00 |
| 90461 |
|
800 |
791 |
$0.00 |
| 90633 |
|
139 |
137 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 98966 |
|
48 |
48 |
$0.00 |
| 90707 |
|
68 |
68 |
$0.00 |