| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
875 |
805 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
438 |
433 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,357 |
509 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
280 |
275 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
231 |
225 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
138 |
133 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
637 |
620 |
$5K |
| 99051 |
|
187 |
180 |
$4K |
| 92551 |
|
639 |
627 |
$4K |
| 85018 |
|
1,067 |
1,039 |
$2K |
| 81002 |
|
712 |
692 |
$2K |
| 99173 |
|
573 |
561 |
$961.60 |
| 36416 |
|
1,047 |
1,026 |
$459.26 |
| 90648 |
|
82 |
81 |
$40.00 |
| 90670 |
|
69 |
69 |
$30.00 |
| 90723 |
|
27 |
27 |
$20.00 |
| 90700 |
|
14 |
14 |
$10.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |