| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,418 |
7,996 |
$878K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,547 |
3,140 |
$402K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,961 |
1,884 |
$213K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,134 |
1,838 |
$199K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
993 |
980 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,057 |
1,044 |
$118K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,492 |
5,042 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
272 |
262 |
$33K |
| 90648 |
|
1,458 |
1,383 |
$32K |
| 90670 |
|
1,432 |
1,364 |
$31K |
| 90700 |
|
1,438 |
1,362 |
$31K |
| 90713 |
|
1,164 |
1,107 |
$25K |
| 90680 |
|
1,019 |
968 |
$22K |
| 90744 |
|
815 |
775 |
$18K |
| 90686 |
|
819 |
778 |
$18K |
| 90633 |
|
604 |
581 |
$13K |
| 90716 |
|
474 |
464 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
179 |
178 |
$10K |
| 90707 |
|
448 |
437 |
$10K |
| 96127 |
|
1,522 |
1,497 |
$7K |
| 90747 |
|
101 |
94 |
$7K |
| 90734 |
|
280 |
273 |
$6K |
| 90651 |
|
262 |
258 |
$6K |
| 90723 |
|
195 |
186 |
$4K |
| 90620 |
|
83 |
83 |
$2K |
| 90677 |
|
32 |
30 |
$853.56 |
| 90715 |
|
27 |
26 |
$628.56 |
| 99401 |
|
74 |
67 |
$440.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
34 |
$100.00 |
| 99173 |
|
26 |
25 |
$65.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
29 |
$0.00 |