| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,504 |
2,284 |
$170K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,824 |
1,566 |
$139K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,165 |
953 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
889 |
838 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
529 |
474 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
584 |
511 |
$26K |
| 90670 |
|
1,066 |
878 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
868 |
727 |
$16K |
| 90686 |
|
814 |
737 |
$9K |
| 96127 |
|
432 |
386 |
$6K |
| 83655 |
|
528 |
457 |
$6K |
| 90647 |
|
522 |
434 |
$5K |
| 90633 |
|
424 |
338 |
$5K |
| 90723 |
|
428 |
358 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
26 |
26 |
$4K |
| 90651 |
|
101 |
86 |
$3K |
| 90680 |
|
269 |
236 |
$3K |
| 90698 |
|
236 |
207 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
24 |
24 |
$1K |
| 99460 |
|
20 |
20 |
$1K |
| 85018 |
|
549 |
477 |
$1K |
| 90656 |
|
62 |
59 |
$1K |
| 90734 |
|
32 |
28 |
$721.40 |
| 90716 |
|
19 |
13 |
$470.68 |
| 96160 |
|
31 |
26 |
$434.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
27 |
$420.91 |
| 90707 |
|
21 |
14 |
$365.74 |
| 90620 |
|
14 |
13 |
$235.62 |
| 90744 |
|
29 |
25 |
$166.40 |
| 90461 |
|
19 |
19 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30 |
29 |
$0.00 |