| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
883 |
802 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
322 |
299 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
296 |
296 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
280 |
280 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
630 |
629 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
135 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
104 |
104 |
$8K |
| 92551 |
|
527 |
527 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
46 |
46 |
$317.59 |
| 87430 |
|
24 |
24 |
$171.96 |
| 99173 |
|
128 |
128 |
$127.60 |
| 83655 |
|
13 |
13 |
$118.71 |
| 96127 |
|
16 |
16 |
$56.15 |
| 85018 |
|
13 |
13 |
$23.38 |