| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,069 |
1,876 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,285 |
1,225 |
$79K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,199 |
2,166 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
545 |
525 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
427 |
404 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
398 |
383 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,209 |
1,175 |
$14K |
| 99402 |
|
638 |
617 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
128 |
125 |
$6K |
| 90461 |
|
385 |
376 |
$6K |
| 3008F |
|
1,342 |
1,304 |
$5K |
| 90686 |
|
432 |
420 |
$4K |
| 99173 |
|
1,247 |
1,221 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$967.75 |
| 96127 |
|
173 |
148 |
$441.89 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
67 |
64 |
$103.32 |
| 90647 |
|
13 |
13 |
$0.00 |
| 97803 |
|
149 |
136 |
$0.00 |
| 96160 |
|
15 |
15 |
$0.00 |
| 90670 |
|
16 |
16 |
$0.00 |