| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,565 |
4,633 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
894 |
894 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
826 |
819 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,415 |
2,349 |
$29K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,822 |
1,158 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
514 |
514 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,016 |
1,837 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
204 |
200 |
$8K |
| 92552 |
|
1,846 |
1,846 |
$3K |
| 90686 |
|
91 |
91 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
40 |
39 |
$931.52 |
| 90688 |
|
42 |
42 |
$697.30 |
| 99173 |
|
1,844 |
1,844 |
$584.20 |
| 90723 |
|
26 |
26 |
$360.20 |
| 87430 |
|
549 |
532 |
$283.92 |
| 90734 |
|
12 |
12 |
$269.54 |
| 96127 |
|
356 |
356 |
$179.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
22 |
$91.95 |
| 97802 |
|
1,485 |
1,485 |
$8.00 |
| 96161 |
|
13 |
13 |
$4.22 |
| 99070 |
|
23 |
23 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
693 |
687 |
$0.00 |