| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,537 |
3,974 |
$273K |
| 99402 |
|
4,655 |
3,921 |
$244K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
263 |
241 |
$23K |
| 99215 |
Prolong outpt/office vis |
167 |
153 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
581 |
529 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
444 |
406 |
$4K |
| 92552 |
|
154 |
144 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
265 |
262 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
14 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$1K |
| 99406 |
|
68 |
64 |
$747.84 |
| 99173 |
|
97 |
92 |
$163.20 |
| 96127 |
|
44 |
39 |
$110.50 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
47 |
39 |
$62.64 |
| 90686 |
|
136 |
136 |
$10.00 |
| 80305 |
|
3,098 |
2,646 |
$0.00 |
| 90461 |
|
13 |
12 |
$0.00 |