| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,416 |
2,114 |
$151K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,850 |
1,757 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,000 |
914 |
$88K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
589 |
587 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
502 |
449 |
$45K |
| 90461 |
|
553 |
541 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
55 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
27 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
20 |
$846.90 |
| 90671 |
|
155 |
152 |
$408.94 |
| 99188 |
|
13 |
13 |
$146.37 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$79.93 |
| 90670 |
|
463 |
457 |
$0.00 |
| 90648 |
|
468 |
463 |
$0.00 |
| 90681 |
|
144 |
139 |
$0.00 |
| 99173 |
|
103 |
101 |
$0.00 |
| 90633 |
|
54 |
54 |
$0.00 |
| 90686 |
|
184 |
179 |
$0.00 |
| 90723 |
|
264 |
260 |
$0.00 |
| 90680 |
|
172 |
170 |
$0.00 |