| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,288 |
1,785 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
736 |
610 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,429 |
1,298 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
86 |
83 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
89 |
80 |
$7K |
| 92551 |
|
522 |
484 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
670 |
608 |
$3K |
| 99051 |
|
519 |
442 |
$2K |
| 99173 |
|
682 |
637 |
$2K |
| 96127 |
|
665 |
575 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
38 |
$1K |
| 99401 |
|
874 |
779 |
$929.56 |
| 97803 |
|
763 |
671 |
$777.51 |
| 90688 |
|
27 |
27 |
$391.03 |
| 90461 |
|
66 |
53 |
$390.93 |
| 90686 |
|
73 |
62 |
$159.68 |
| 97804 |
|
79 |
78 |
$120.29 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
27 |
$84.04 |
| S9470 |
Nutritional counseling, dietitian visit |
107 |
106 |
$81.00 |
| 87081 |
|
15 |
13 |
$46.76 |
| 99072 |
|
143 |
125 |
$45.00 |
| 94760 |
|
172 |
142 |
$36.78 |
| 96160 |
|
26 |
13 |
$20.83 |
| 81000 |
|
14 |
14 |
$14.64 |
| 99000 |
|
47 |
45 |
$12.60 |