| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,520 |
1,366 |
$174K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,327 |
2,012 |
$172K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
284 |
269 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
217 |
208 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
186 |
178 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
122 |
110 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
47 |
46 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
268 |
174 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
109 |
107 |
$3K |
| 99383 |
|
29 |
25 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
47 |
43 |
$2K |
| 90461 |
|
43 |
36 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
189 |
161 |
$264.88 |
| 90649 |
|
37 |
26 |
$131.93 |
| 96127 |
|
12 |
12 |
$49.94 |
| 90723 |
|
26 |
26 |
$0.00 |
| 90716 |
|
46 |
46 |
$0.00 |
| 90648 |
|
65 |
65 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90670 |
|
60 |
60 |
$0.00 |
| 90700 |
|
35 |
34 |
$0.00 |
| 90707 |
|
24 |
24 |
$0.00 |