| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,095 |
1,017 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
369 |
346 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
187 |
175 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
76 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
250 |
228 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54 |
54 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
62 |
$5K |
| 92552 |
|
167 |
157 |
$3K |
| 90686 |
|
192 |
192 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
151 |
131 |
$1K |
| 96127 |
|
189 |
166 |
$839.33 |
| 90658 |
|
50 |
50 |
$644.42 |
| 99173 |
|
164 |
154 |
$473.23 |
| 92551 |
|
117 |
108 |
$345.18 |
| 96160 |
|
21 |
20 |
$28.58 |
| 80061 |
Lipid panel |
18 |
17 |
$15.40 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
43 |
41 |
$0.00 |