| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,864 |
1,687 |
$169K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,327 |
1,283 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,279 |
1,203 |
$109K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,602 |
2,505 |
$99K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,938 |
3,689 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
184 |
174 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
75 |
71 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
302 |
277 |
$3K |
| 92552 |
|
189 |
178 |
$3K |
| 90670 |
|
358 |
355 |
$3K |
| 99173 |
|
282 |
259 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 96127 |
|
46 |
46 |
$869.78 |
| 90686 |
|
425 |
386 |
$733.73 |
| 92551 |
|
67 |
64 |
$643.20 |
| 36416 |
|
219 |
184 |
$554.08 |
| 90698 |
|
187 |
186 |
$344.36 |
| 99000 |
|
81 |
68 |
$198.42 |
| 90461 |
|
157 |
150 |
$106.00 |
| 85018 |
|
25 |
25 |
$54.82 |
| 90633 |
|
12 |
12 |
$38.29 |
| 94760 |
|
16 |
14 |
$36.90 |
| 90685 |
|
45 |
45 |
$0.00 |
| 90680 |
|
37 |
36 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |