| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,869 |
2,454 |
$149K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,124 |
956 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
761 |
656 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
694 |
584 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
476 |
432 |
$39K |
| 96127 |
|
1,275 |
1,128 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
225 |
181 |
$19K |
| 90686 |
|
1,900 |
1,580 |
$19K |
| 90670 |
|
705 |
575 |
$14K |
| 99215 |
Prolong outpt/office vis |
89 |
73 |
$8K |
| 90698 |
|
537 |
436 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
180 |
132 |
$4K |
| 96160 |
|
178 |
170 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
103 |
90 |
$2K |
| 90633 |
|
165 |
148 |
$2K |
| 90656 |
|
88 |
83 |
$2K |
| 90680 |
|
114 |
98 |
$1K |
| 90744 |
|
67 |
52 |
$843.24 |
| 0154A |
|
14 |
13 |
$665.82 |
| 90685 |
|
76 |
60 |
$628.02 |
| 91321 |
|
16 |
13 |
$549.36 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
45 |
30 |
$528.77 |
| 90677 |
|
20 |
13 |
$433.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
125 |
103 |
$371.68 |
| 90651 |
|
55 |
50 |
$346.88 |
| 90734 |
|
44 |
38 |
$270.08 |
| 99173 |
|
23 |
13 |
$109.92 |
| 85018 |
|
12 |
12 |
$18.58 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
13 |
$0.00 |