| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,986 |
3,038 |
$318K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
315 |
246 |
$35K |
| 92552 |
|
1,484 |
1,293 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
329 |
296 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
297 |
266 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
235 |
201 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
130 |
118 |
$6K |
| 90686 |
|
301 |
283 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
48 |
38 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
472 |
414 |
$4K |
| 97802 |
|
265 |
224 |
$2K |
| 99173 |
|
921 |
812 |
$2K |
| 96127 |
|
418 |
345 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
40 |
39 |
$919.94 |
| 99051 |
|
106 |
92 |
$720.00 |
| 90656 |
|
29 |
29 |
$675.12 |
| 90670 |
|
13 |
13 |
$302.64 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
26 |
$0.00 |