| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,071 |
1,701 |
$96K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
817 |
776 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,114 |
1,079 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
190 |
189 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
212 |
192 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,649 |
1,626 |
$10K |
| 90686 |
|
480 |
475 |
$10K |
| 92551 |
|
1,342 |
1,323 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
121 |
121 |
$7K |
| 3008F |
|
539 |
527 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
144 |
134 |
$3K |
| S9451 |
Exercise classes, non-physician provider, per session |
573 |
559 |
$3K |
| 99173 |
|
1,336 |
1,316 |
$2K |
| S9452 |
Nutrition classes, non-physician provider, per session |
573 |
558 |
$2K |
| 90688 |
|
88 |
87 |
$2K |
| 99401 |
|
38 |
37 |
$835.88 |
| 90756 |
|
27 |
27 |
$753.06 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
26 |
$236.56 |