| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,191 |
1,919 |
$105K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,875 |
2,639 |
$100K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,248 |
1,218 |
$97K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,170 |
1,107 |
$86K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,910 |
2,732 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
564 |
543 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
203 |
198 |
$17K |
| 99429 |
|
392 |
365 |
$12K |
| 90461 |
|
1,658 |
1,447 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
768 |
744 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
33 |
31 |
$2K |
| 83655 |
|
122 |
118 |
$1K |
| 99460 |
|
15 |
15 |
$1K |
| 90677 |
|
243 |
233 |
$0.28 |
| 90744 |
|
226 |
220 |
$0.00 |
| 90686 |
|
606 |
605 |
$0.00 |
| 90698 |
|
942 |
920 |
$0.00 |
| 90680 |
|
663 |
652 |
$0.00 |
| 90651 |
|
40 |
38 |
$0.00 |
| 90716 |
|
50 |
49 |
$0.00 |
| 90670 |
|
704 |
689 |
$0.00 |
| 90707 |
|
64 |
63 |
$0.00 |
| 90633 |
|
85 |
80 |
$0.00 |