| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,057 |
9,732 |
$413K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,503 |
4,237 |
$258K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,667 |
1,666 |
$156K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,665 |
1,656 |
$153K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,298 |
1,298 |
$122K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
756 |
751 |
$71K |
| 92551 |
|
5,848 |
5,818 |
$43K |
| 83655 |
|
4,736 |
4,710 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,377 |
5,353 |
$35K |
| 99173 |
|
5,843 |
5,816 |
$32K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
591 |
588 |
$12K |
| 86580 |
|
4,740 |
4,713 |
$11K |
| 99499 |
|
567 |
548 |
$10K |
| 90700 |
|
923 |
923 |
$9K |
| 81002 |
|
4,736 |
4,712 |
$8K |
| 85018 |
|
2,944 |
2,925 |
$8K |
| 90713 |
|
734 |
734 |
$7K |
| 90734 |
|
519 |
519 |
$7K |
| 90688 |
|
635 |
635 |
$7K |
| 90621 |
|
462 |
461 |
$7K |
| 90651 |
|
450 |
450 |
$7K |
| 90648 |
|
656 |
656 |
$7K |
| 90670 |
|
649 |
649 |
$6K |
| 90658 |
|
495 |
495 |
$5K |
| 90680 |
|
251 |
251 |
$2K |
| 90716 |
|
197 |
197 |
$2K |
| 90633 |
|
179 |
179 |
$2K |
| 90707 |
|
174 |
174 |
$2K |
| 90685 |
|
136 |
136 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
50 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
93 |
90 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$1K |
| 90715 |
|
80 |
80 |
$730.00 |
| 90744 |
|
63 |
63 |
$613.00 |
| 90649 |
|
65 |
65 |
$590.00 |
| 90657 |
|
27 |
27 |
$253.95 |