| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,202 |
4,174 |
$245K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,578 |
2,248 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
499 |
480 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
180 |
170 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
255 |
231 |
$9K |
| 92552 |
|
425 |
415 |
$5K |
| 90686 |
|
591 |
562 |
$5K |
| 90461 |
|
313 |
285 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
65 |
$3K |
| 92587 |
|
142 |
140 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
26 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 83655 |
|
87 |
86 |
$571.00 |
| 36416 |
|
74 |
73 |
$570.00 |
| 99173 |
|
466 |
451 |
$283.47 |
| 90700 |
|
56 |
49 |
$229.37 |
| 96127 |
|
57 |
57 |
$171.22 |
| 90713 |
|
15 |
12 |
$77.48 |
| 97802 |
|
691 |
676 |
$17.55 |