| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
570 |
494 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
243 |
222 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
206 |
196 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
126 |
105 |
$9K |
| 90670 |
|
130 |
126 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
63 |
57 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
20 |
20 |
$2K |
| 90647 |
|
59 |
55 |
$589.75 |
| 90723 |
|
53 |
53 |
$514.97 |
| 90686 |
|
45 |
41 |
$347.44 |
| 90685 |
|
41 |
40 |
$284.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$0.00 |