| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
910 |
694 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
996 |
801 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
171 |
161 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
143 |
114 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,326 |
573 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
545 |
449 |
$4K |
| 90461 |
|
891 |
241 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$2K |
| 99429 |
|
78 |
69 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 90688 |
|
280 |
270 |
$0.01 |
| 90670 |
|
97 |
89 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90680 |
|
28 |
27 |
$0.00 |
| 90698 |
|
46 |
39 |
$0.00 |
| 90744 |
|
15 |
15 |
$0.00 |