| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,479 |
9,678 |
$512K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,847 |
3,347 |
$123K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,066 |
991 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
785 |
698 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
517 |
465 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,863 |
1,738 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
208 |
194 |
$15K |
| 81002 |
|
2,140 |
1,979 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$3K |
| 99188 |
|
70 |
58 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21 |
17 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,290 |
1,025 |
$733.50 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
14 |
$116.60 |
| 97803 |
|
449 |
446 |
$75.00 |
| 99173 |
|
911 |
718 |
$34.00 |
| 90670 |
|
132 |
110 |
$30.00 |
| 99000 |
|
228 |
210 |
$28.36 |
| 81025 |
|
13 |
12 |
$21.04 |
| 92551 |
|
745 |
646 |
$13.05 |
| 92567 |
|
21 |
19 |
$12.35 |
| 90698 |
|
14 |
14 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |
| 90633 |
|
15 |
14 |
$0.00 |