| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,395 |
2,033 |
$220K |
| 99215 |
Prolong outpt/office vis |
1,595 |
1,381 |
$201K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
112 |
111 |
$10K |
| 85013 |
|
995 |
945 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75 |
68 |
$4K |
| 81002 |
|
977 |
918 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
451 |
429 |
$2K |
| 97802 |
|
104 |
104 |
$2K |
| 90686 |
|
114 |
107 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 90688 |
|
52 |
52 |
$738.81 |
| 99173 |
|
161 |
153 |
$273.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$220.48 |