| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,679 |
17,406 |
$825K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,713 |
1,669 |
$139K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,458 |
1,406 |
$122K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,038 |
994 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,368 |
1,247 |
$65K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,110 |
3,045 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
219 |
206 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
133 |
129 |
$10K |
| 90686 |
|
709 |
707 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 90715 |
|
87 |
84 |
$786.41 |
| 90619 |
|
24 |
22 |
$533.32 |
| 90461 |
|
433 |
408 |
$449.15 |
| 90620 |
|
63 |
55 |
$434.62 |
| 99406 |
|
67 |
66 |
$427.87 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
103 |
76 |
$166.32 |
| 81003 |
|
86 |
74 |
$52.52 |
| 85018 |
|
32 |
29 |
$19.44 |
| 96127 |
|
279 |
249 |
$18.16 |
| 2014F |
|
175 |
173 |
$0.00 |
| 90734 |
|
302 |
296 |
$0.00 |
| 90670 |
|
226 |
221 |
$0.00 |
| 90633 |
|
111 |
109 |
$0.00 |
| 96160 |
|
54 |
53 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |
| 97802 |
|
1,638 |
1,602 |
$0.00 |
| 90651 |
|
618 |
601 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
115 |
105 |
$0.00 |
| 87428 |
|
85 |
74 |
$0.00 |
| 90647 |
|
51 |
50 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |
| 90696 |
|
26 |
26 |
$0.00 |