| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,985 |
2,118 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
901 |
753 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
58 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
138 |
110 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
479 |
389 |
$410.00 |
| 81002 |
|
645 |
472 |
$50.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
79 |
72 |
$0.00 |
| 92551 |
|
45 |
44 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
174 |
109 |
$0.00 |
| 99173 |
|
49 |
47 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$0.00 |
| 97803 |
|
19 |
19 |
$0.00 |