| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,955 |
9,841 |
$560K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,304 |
2,066 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,085 |
1,053 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
838 |
799 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
491 |
481 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
348 |
333 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,344 |
2,249 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
483 |
457 |
$13K |
| 81002 |
|
2,854 |
2,717 |
$4K |
| 99188 |
|
138 |
137 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,433 |
2,039 |
$430.87 |
| 97803 |
|
1,129 |
1,112 |
$306.02 |
| 81025 |
|
30 |
25 |
$115.72 |
| 0001A |
|
40 |
40 |
$114.18 |
| 99173 |
|
1,944 |
1,689 |
$88.35 |
| 92551 |
|
1,969 |
1,719 |
$76.72 |
| 0002A |
|
12 |
12 |
$64.18 |
| 90633 |
|
28 |
18 |
$60.00 |
| 92587 |
|
45 |
41 |
$42.54 |
| 90648 |
|
75 |
72 |
$30.00 |
| 90658 |
|
341 |
332 |
$30.00 |
| 90700 |
|
22 |
14 |
$0.00 |
| 91300 |
|
58 |
48 |
$0.00 |
| 90670 |
|
70 |
67 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 91307 |
|
40 |
38 |
$0.00 |
| 99174 |
|
14 |
13 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |