| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
669 |
578 |
$71K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
385 |
363 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
338 |
330 |
$50K |
| 90461 |
|
649 |
615 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,049 |
1,013 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
47 |
47 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
287 |
279 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
14 |
$2K |
| 99173 |
|
373 |
363 |
$1K |
| 99381 |
|
16 |
13 |
$1K |
| 90670 |
|
69 |
64 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 90686 |
|
229 |
224 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |