| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,519 |
4,198 |
$285K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,741 |
4,498 |
$153K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,782 |
1,753 |
$130K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,351 |
1,328 |
$109K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,198 |
1,185 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
575 |
541 |
$51K |
| 97802 |
|
3,211 |
3,208 |
$46K |
| 99173 |
|
3,103 |
3,097 |
$31K |
| 92567 |
|
2,244 |
2,241 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
473 |
465 |
$29K |
| 90461 |
|
465 |
452 |
$22K |
| 92587 |
|
1,051 |
1,051 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$1K |
| 96127 |
|
268 |
268 |
$877.30 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
54 |
54 |
$631.06 |
| 0071A |
|
16 |
16 |
$606.54 |
| 0072A |
|
15 |
15 |
$600.00 |
| 90686 |
|
923 |
911 |
$512.38 |
| 92568 |
|
26 |
26 |
$412.62 |
| 99408 |
|
182 |
182 |
$410.03 |
| 90656 |
|
22 |
22 |
$22.35 |
| 3725F |
|
116 |
116 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90734 |
|
84 |
84 |
$0.00 |
| 99080 |
|
62 |
25 |
$0.00 |
| 90633 |
|
39 |
39 |
$0.00 |
| 90670 |
|
31 |
31 |
$0.00 |
| 90685 |
|
15 |
15 |
$0.00 |
| 90651 |
|
83 |
82 |
$0.00 |
| 99000 |
|
229 |
228 |
$0.00 |
| 91307 |
|
37 |
27 |
$0.00 |