| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,936 |
1,817 |
$77K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,347 |
2,312 |
$45K |
| 99401 |
|
1,210 |
1,136 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
848 |
843 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
355 |
353 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
249 |
249 |
$12K |
| 90461 |
|
613 |
610 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
212 |
200 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
143 |
140 |
$7K |
| 90686 |
|
433 |
429 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
40 |
$2K |
| 90670 |
|
26 |
24 |
$664.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$590.00 |
| 90656 |
|
62 |
62 |
$165.39 |
| 90633 |
|
15 |
14 |
$73.32 |
| 90648 |
|
25 |
25 |
$44.78 |