| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,382 |
20,385 |
$2.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,720 |
11,141 |
$656K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,670 |
2,387 |
$221K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,391 |
2,095 |
$180K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,023 |
1,587 |
$155K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,105 |
3,494 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
752 |
568 |
$51K |
| 99173 |
|
5,891 |
5,187 |
$44K |
| 90686 |
|
3,300 |
3,041 |
$34K |
| 90651 |
|
725 |
589 |
$18K |
| 99402 |
|
499 |
413 |
$15K |
| 90700 |
|
1,356 |
1,071 |
$15K |
| 90713 |
|
955 |
747 |
$11K |
| 90670 |
|
461 |
368 |
$9K |
| 90656 |
|
435 |
431 |
$7K |
| 90647 |
|
659 |
514 |
$6K |
| 90734 |
|
346 |
252 |
$6K |
| 90620 |
|
508 |
419 |
$5K |
| 90716 |
|
247 |
193 |
$5K |
| 0072A |
|
105 |
89 |
$4K |
| 0071A |
|
100 |
91 |
$4K |
| 90619 |
|
204 |
188 |
$3K |
| 90707 |
|
190 |
146 |
$3K |
| 96127 |
|
194 |
171 |
$3K |
| 90677 |
|
89 |
75 |
$3K |
| 0154A |
|
58 |
40 |
$2K |
| 90715 |
|
176 |
144 |
$2K |
| 91320 |
|
38 |
38 |
$2K |
| 91319 |
|
23 |
23 |
$1K |
| 0074A |
|
23 |
22 |
$961.40 |
| 90744 |
|
121 |
94 |
$787.74 |
| 90633 |
|
63 |
55 |
$724.36 |
| 0081A |
|
17 |
16 |
$710.60 |
| 0082A |
|
15 |
13 |
$627.00 |
| 0124A |
|
13 |
12 |
$543.40 |
| 90680 |
|
35 |
25 |
$451.23 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,572 |
2,269 |
$142.58 |
| 90685 |
|
18 |
16 |
$115.20 |
| 90461 |
|
628 |
568 |
$6.40 |