| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,244 |
2,835 |
$169K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,730 |
1,675 |
$75K |
| 90461 |
|
1,184 |
1,147 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
802 |
800 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
858 |
830 |
$60K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,215 |
2,106 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,340 |
1,185 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
439 |
403 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
68 |
$5K |
| 96160 |
|
1,601 |
1,487 |
$4K |
| 96127 |
|
675 |
557 |
$3K |
| 96161 |
|
939 |
902 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
34 |
$2K |
| 92551 |
|
164 |
161 |
$354.91 |
| 90670 |
|
480 |
455 |
$122.90 |
| 99173 |
|
183 |
176 |
$84.97 |
| 90633 |
|
72 |
72 |
$0.00 |
| 90723 |
|
73 |
73 |
$0.00 |
| 90647 |
|
120 |
116 |
$0.00 |
| 90698 |
|
40 |
39 |
$0.00 |
| 90680 |
|
117 |
112 |
$0.00 |
| 90686 |
|
18 |
17 |
$0.00 |
| 90677 |
|
35 |
30 |
$0.00 |