| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,519 |
1,136 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
657 |
505 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
420 |
312 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
439 |
336 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
969 |
714 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
524 |
406 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,205 |
850 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
111 |
95 |
$6K |
| 92551 |
|
321 |
259 |
$2K |
| 90656 |
|
181 |
157 |
$534.65 |
| 90670 |
|
65 |
31 |
$516.25 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
83 |
77 |
$508.78 |
| 99173 |
|
366 |
271 |
$389.76 |
| 90677 |
|
115 |
97 |
$288.68 |
| 85018 |
|
95 |
74 |
$143.02 |
| 90474 |
|
16 |
13 |
$113.11 |
| 96161 |
|
51 |
38 |
$80.50 |
| 90647 |
|
121 |
97 |
$0.12 |
| 90723 |
|
104 |
74 |
$0.00 |
| 90686 |
|
124 |
92 |
$0.00 |
| 90680 |
|
43 |
32 |
$0.00 |