| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,596 |
4,231 |
$363K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,617 |
4,278 |
$254K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,387 |
5,218 |
$241K |
| 99215 |
Prolong outpt/office vis |
2,049 |
1,883 |
$222K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,958 |
1,890 |
$156K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,009 |
1,939 |
$149K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,858 |
3,441 |
$134K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,195 |
1,173 |
$96K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
330 |
324 |
$29K |
| 99381 |
|
94 |
92 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
461 |
455 |
$7K |
| 99417 |
Prolong home eval add 15m |
41 |
40 |
$984.97 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
58 |
$911.58 |
| 96127 |
|
150 |
150 |
$728.87 |
| 99188 |
|
27 |
26 |
$318.76 |
| 90473 |
|
15 |
15 |
$209.85 |
| 96161 |
|
81 |
80 |
$104.76 |
| 90672 |
|
442 |
431 |
$102.41 |
| 90670 |
|
1,459 |
1,349 |
$90.24 |
| 99173 |
|
1,925 |
1,824 |
$75.52 |
| 90686 |
|
583 |
557 |
$45.70 |
| 90633 |
|
395 |
343 |
$12.86 |
| 90685 |
|
284 |
270 |
$11.18 |
| 90713 |
|
57 |
50 |
$0.00 |
| 90700 |
|
499 |
444 |
$0.00 |
| 90734 |
|
55 |
53 |
$0.00 |
| 90707 |
|
63 |
51 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90710 |
|
16 |
16 |
$0.00 |
| 90723 |
|
465 |
418 |
$0.00 |
| 90680 |
|
924 |
852 |
$0.00 |
| 90677 |
|
96 |
95 |
$0.00 |
| 90647 |
|
994 |
925 |
$0.00 |
| 90716 |
|
62 |
51 |
$0.00 |
| 90651 |
|
90 |
85 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |
| 90697 |
|
16 |
16 |
$0.00 |
| 90656 |
|
27 |
27 |
$0.00 |