| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
546 |
522 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
320 |
303 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
273 |
271 |
$6K |
| 96127 |
|
179 |
172 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
73 |
41 |
$971.68 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
95 |
80 |
$641.01 |
| 90480 |
|
29 |
29 |
$637.18 |
| 99499 |
|
26 |
26 |
$509.46 |
| 99429 |
|
27 |
27 |
$475.58 |
| 90656 |
|
130 |
129 |
$358.38 |
| 91321 |
|
24 |
24 |
$52.40 |
| 99177 |
|
15 |
15 |
$46.77 |
| 99173 |
|
13 |
13 |
$17.96 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
97 |
91 |
$0.00 |