| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,616 |
4,072 |
$183K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,827 |
1,604 |
$107K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,309 |
2,753 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,087 |
922 |
$60K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
749 |
696 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
636 |
589 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,477 |
1,323 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,018 |
2,734 |
$35K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,959 |
1,752 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
310 |
283 |
$21K |
| 92552 |
|
732 |
685 |
$11K |
| 99173 |
|
1,715 |
1,577 |
$8K |
| 99441 |
|
474 |
407 |
$7K |
| 92551 |
|
994 |
900 |
$6K |
| 99442 |
|
144 |
130 |
$4K |
| 3008F |
|
2,212 |
2,044 |
$2K |
| 90474 |
|
204 |
174 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
12 |
$990.62 |
| 99443 |
|
16 |
15 |
$581.20 |
| 96161 |
|
32 |
25 |
$386.59 |
| 90473 |
|
23 |
18 |
$215.23 |
| 96127 |
|
34 |
29 |
$120.66 |
| 90658 |
|
112 |
109 |
$0.55 |
| 90697 |
|
82 |
69 |
$0.37 |
| 90656 |
|
75 |
72 |
$0.25 |
| 90688 |
|
237 |
221 |
$0.02 |
| 90686 |
|
219 |
204 |
$0.01 |
| 90680 |
|
192 |
165 |
$0.01 |
| 90670 |
|
649 |
572 |
$0.01 |
| 90734 |
|
42 |
37 |
$0.01 |
| 90744 |
|
23 |
14 |
$0.00 |
| 90698 |
|
28 |
26 |
$0.00 |
| 90648 |
|
26 |
25 |
$0.00 |
| 90672 |
|
47 |
34 |
$0.00 |
| 90633 |
|
27 |
26 |
$0.00 |