| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
190 |
183 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
77 |
75 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
71 |
68 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
55 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
32 |
$3K |
| 90686 |
|
142 |
141 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
35 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
15 |
12 |
$1K |
| 90670 |
|
54 |
54 |
$1K |
| 90685 |
|
52 |
52 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
28 |
$1K |
| 90698 |
|
50 |
50 |
$1K |
| 90680 |
|
39 |
39 |
$834.48 |
| 90633 |
|
37 |
37 |
$790.56 |
| 90744 |
|
33 |
33 |
$724.68 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
73 |
73 |
$536.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$494.16 |
| 85018 |
|
16 |
16 |
$336.00 |
| 99188 |
|
16 |
16 |
$280.00 |
| 90688 |
|
13 |
12 |
$151.24 |
| 96160 |
|
27 |
27 |
$143.96 |