| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,866 |
14,273 |
$1.22M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,556 |
2,187 |
$136K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
672 |
634 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
556 |
516 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
358 |
341 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,332 |
1,031 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,353 |
1,125 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
107 |
93 |
$8K |
| 99429 |
|
240 |
228 |
$7K |
| 99215 |
Prolong outpt/office vis |
35 |
27 |
$2K |
| 96160 |
|
524 |
483 |
$605.14 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$269.62 |
| 90461 |
|
36 |
36 |
$133.48 |
| 90734 |
|
43 |
43 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 90715 |
|
17 |
17 |
$0.00 |
| 90651 |
|
17 |
17 |
$0.00 |