| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,732 |
4,150 |
$209K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,388 |
5,014 |
$155K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,921 |
1,825 |
$111K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,444 |
1,413 |
$84K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,447 |
1,348 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
853 |
821 |
$57K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,075 |
3,846 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
464 |
453 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
594 |
554 |
$16K |
| 92551 |
|
1,312 |
1,275 |
$8K |
| 90670 |
|
1,044 |
985 |
$8K |
| 99173 |
|
2,224 |
2,160 |
$5K |
| 96127 |
|
1,240 |
1,195 |
$5K |
| 90686 |
|
2,043 |
1,996 |
$4K |
| 90677 |
|
61 |
57 |
$4K |
| 90698 |
|
676 |
640 |
$2K |
| 90710 |
|
212 |
207 |
$1K |
| 90649 |
|
52 |
51 |
$827.35 |
| 69210 |
|
14 |
13 |
$348.50 |
| 90685 |
|
141 |
138 |
$259.05 |
| 90744 |
|
231 |
211 |
$257.75 |
| 90633 |
|
153 |
145 |
$120.90 |
| 90681 |
|
87 |
82 |
$90.00 |
| 90734 |
|
49 |
49 |
$71.80 |
| 90461 |
|
2,416 |
2,263 |
$31.50 |