| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,257 |
2,129 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
121 |
104 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
51 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
130 |
87 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
338 |
278 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
94 |
67 |
$489.07 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
611 |
463 |
$320.00 |
| 81002 |
|
803 |
607 |
$48.62 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
432 |
324 |
$1.62 |
| 99173 |
|
247 |
197 |
$0.00 |
| 90658 |
|
51 |
44 |
$0.00 |
| 97803 |
|
346 |
297 |
$0.00 |
| 92551 |
|
273 |
215 |
$0.00 |