| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
705 |
605 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
376 |
326 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
141 |
128 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
593 |
347 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
61 |
59 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
468 |
401 |
$4K |
| 90461 |
|
331 |
321 |
$3K |
| 99188 |
|
118 |
109 |
$1K |
| 92551 |
|
333 |
305 |
$372.88 |
| 99173 |
|
290 |
270 |
$87.77 |
| 87430 |
|
19 |
12 |
$56.63 |
| 85018 |
|
31 |
31 |
$43.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 96127 |
|
114 |
97 |
$0.00 |
| 36416 |
|
14 |
14 |
$0.00 |
| 90671 |
|
15 |
15 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |