| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,449 |
1,342 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,158 |
1,963 |
$99K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,232 |
1,102 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,072 |
1,026 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
460 |
444 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
376 |
344 |
$28K |
| 90670 |
|
1,229 |
1,118 |
$15K |
| 90647 |
|
825 |
741 |
$6K |
| 90723 |
|
664 |
579 |
$6K |
| 90686 |
|
696 |
642 |
$5K |
| 90633 |
|
733 |
669 |
$5K |
| 99383 |
|
50 |
44 |
$5K |
| 90680 |
|
517 |
460 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
147 |
141 |
$2K |
| 90651 |
|
247 |
224 |
$2K |
| 99382 |
|
16 |
15 |
$2K |
| 90685 |
|
215 |
202 |
$1K |
| 90734 |
|
202 |
190 |
$1K |
| 90710 |
|
147 |
134 |
$909.82 |
| 99460 |
|
13 |
13 |
$815.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$718.20 |
| 90700 |
|
102 |
96 |
$664.44 |
| 90696 |
|
102 |
88 |
$634.61 |
| 90715 |
|
88 |
81 |
$582.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
30 |
$360.64 |
| 90744 |
|
49 |
44 |
$327.70 |
| 90716 |
|
39 |
30 |
$249.60 |
| 90707 |
|
37 |
28 |
$236.80 |
| 90649 |
|
35 |
30 |
$226.85 |
| 90688 |
|
32 |
30 |
$204.80 |
| 90648 |
|
28 |
28 |
$194.95 |
| 96160 |
|
12 |
12 |
$175.20 |
| 90698 |
|
18 |
14 |
$170.40 |
| 90621 |
|
17 |
15 |
$108.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
88 |
87 |
$0.00 |