| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,634 |
5,236 |
$233K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
379 |
375 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
368 |
366 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
286 |
284 |
$27K |
| 90672 |
|
620 |
617 |
$6K |
| 83655 |
|
365 |
362 |
$4K |
| 92552 |
|
370 |
369 |
$3K |
| 99173 |
|
429 |
426 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$2K |
| 96127 |
|
453 |
452 |
$2K |
| 0001A |
|
42 |
42 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
151 |
144 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 0002A |
|
38 |
38 |
$2K |
| 80061 |
Lipid panel |
114 |
114 |
$1K |
| 90688 |
|
97 |
97 |
$1K |
| 90734 |
|
28 |
28 |
$470.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$320.00 |
| 90670 |
|
42 |
42 |
$290.00 |
| 90687 |
|
25 |
25 |
$252.00 |
| 90651 |
|
14 |
14 |
$140.00 |
| 90633 |
|
12 |
12 |
$121.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
14 |
$111.84 |