| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,158 |
7,418 |
$420K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,593 |
1,509 |
$175K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,149 |
1,104 |
$128K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
946 |
896 |
$117K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
987 |
913 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,299 |
1,183 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,485 |
2,239 |
$25K |
| 99401 |
|
3,417 |
3,096 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,120 |
2,924 |
$10K |
| 90461 |
|
783 |
720 |
$1K |
| 86580 |
|
210 |
203 |
$326.68 |
| 90670 |
|
283 |
268 |
$250.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
447 |
426 |
$107.53 |
| 90649 |
|
120 |
116 |
$106.24 |
| 90686 |
|
118 |
109 |
$67.71 |
| 90620 |
|
72 |
66 |
$44.01 |
| 90648 |
|
52 |
51 |
$0.00 |
| 90633 |
|
18 |
18 |
$0.00 |
| 1111F |
|
130 |
122 |
$0.00 |
| 90680 |
|
68 |
64 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |