| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,187 |
14,949 |
$664K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,757 |
2,720 |
$259K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,805 |
2,760 |
$246K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,275 |
2,235 |
$231K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,562 |
5,999 |
$173K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,908 |
1,847 |
$165K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,984 |
2,087 |
$27K |
| 90461 |
|
3,627 |
3,043 |
$14K |
| 96161 |
|
2,442 |
2,386 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
134 |
132 |
$4K |
| 0071A |
|
77 |
74 |
$3K |
| 0072A |
|
73 |
73 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$763.30 |
| 90677 |
|
333 |
312 |
$761.79 |
| 0081A |
|
14 |
13 |
$560.00 |
| 0073A |
|
14 |
14 |
$520.00 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
21 |
20 |
$475.00 |
| 90686 |
|
1,752 |
1,720 |
$21.61 |
| 90680 |
|
806 |
799 |
$0.00 |
| 90698 |
|
942 |
925 |
$0.00 |
| 90651 |
|
601 |
579 |
$0.00 |
| 90716 |
|
495 |
489 |
$0.00 |
| 90744 |
|
449 |
445 |
$0.00 |
| 91307 |
|
197 |
185 |
$0.00 |
| 90707 |
|
468 |
461 |
$0.00 |
| 90700 |
|
522 |
512 |
$0.00 |
| 90670 |
|
1,007 |
999 |
$0.00 |
| 90633 |
|
509 |
507 |
$0.00 |
| 90734 |
|
369 |
362 |
$0.00 |
| 90715 |
|
55 |
54 |
$0.00 |
| 90648 |
|
62 |
62 |
$0.00 |
| 90713 |
|
142 |
136 |
$0.00 |
| 90671 |
|
251 |
251 |
$0.00 |
| 91308 |
|
16 |
14 |
$0.00 |