| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,402 |
3,032 |
$194K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
829 |
810 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
543 |
525 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
669 |
608 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
283 |
272 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,597 |
1,550 |
$13K |
| 90686 |
|
1,078 |
1,051 |
$12K |
| 90670 |
|
277 |
272 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
47 |
$4K |
| 99173 |
|
724 |
705 |
$2K |
| 90716 |
|
103 |
99 |
$2K |
| 90707 |
|
127 |
116 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,094 |
2,950 |
$2K |
| 90651 |
|
42 |
29 |
$1K |
| 90633 |
|
132 |
115 |
$1K |
| 90698 |
|
78 |
78 |
$939.68 |
| 90734 |
|
28 |
28 |
$707.54 |
| 90680 |
|
61 |
61 |
$660.00 |
| 90688 |
|
59 |
59 |
$649.00 |
| 90744 |
|
68 |
63 |
$630.35 |
| 90461 |
|
1,182 |
1,120 |
$508.80 |
| 90715 |
|
53 |
38 |
$379.30 |
| 90685 |
|
32 |
32 |
$357.22 |