| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,900 |
1,622 |
$128K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,703 |
1,454 |
$111K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,168 |
1,128 |
$26K |
| 94010 |
|
747 |
729 |
$17K |
| 92552 |
|
649 |
647 |
$14K |
| 92567 |
|
1,079 |
1,000 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
174 |
169 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
191 |
191 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
149 |
148 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,547 |
1,513 |
$8K |
| 92283 |
|
399 |
398 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
88 |
87 |
$5K |
| 94060 |
|
54 |
47 |
$2K |
| 99402 |
|
272 |
251 |
$2K |
| 92081 |
|
61 |
61 |
$964.48 |
| 90461 |
|
13 |
12 |
$341.60 |
| 99173 |
|
214 |
181 |
$248.67 |
| 92551 |
|
12 |
12 |
$77.52 |
| 81002 |
|
29 |
29 |
$44.70 |
| 99000 |
|
84 |
79 |
$0.00 |
| 4037F |
|
33 |
33 |
$0.00 |
| 90686 |
|
35 |
35 |
$0.00 |