| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,978 |
8,939 |
$533K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,995 |
3,593 |
$312K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,277 |
2,969 |
$254K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,212 |
2,785 |
$223K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,333 |
2,090 |
$200K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,160 |
1,033 |
$89K |
| 99383 |
|
324 |
294 |
$31K |
| 99384 |
|
64 |
62 |
$7K |
| 99382 |
|
46 |
46 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
159 |
154 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 96127 |
|
117 |
99 |
$2K |
| 90677 |
|
118 |
109 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 90648 |
|
90 |
82 |
$596.62 |
| 90656 |
|
32 |
28 |
$226.71 |
| 90734 |
|
26 |
26 |
$176.71 |
| 90723 |
|
26 |
25 |
$176.71 |
| 85018 |
|
21 |
17 |
$48.72 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
126 |
124 |
$32.36 |
| 90461 |
|
37 |
36 |
$0.00 |