| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,768 |
6,210 |
$346K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,975 |
2,692 |
$218K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,963 |
1,899 |
$152K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,489 |
1,393 |
$106K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,197 |
1,183 |
$94K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
767 |
755 |
$65K |
| 99381 |
|
389 |
382 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,990 |
1,861 |
$30K |
| 90461 |
|
1,339 |
1,177 |
$14K |
| 92551 |
|
1,655 |
1,615 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
180 |
178 |
$5K |
| 90671 |
|
22 |
21 |
$5K |
| 99173 |
|
1,730 |
1,685 |
$3K |
| 90670 |
|
885 |
821 |
$2K |
| 99201 |
|
59 |
59 |
$2K |
| 99383 |
|
13 |
12 |
$927.76 |
| 90698 |
|
943 |
862 |
$546.15 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
138 |
128 |
$480.83 |
| 90680 |
|
459 |
431 |
$239.12 |
| 90744 |
|
477 |
450 |
$189.33 |
| 90633 |
|
312 |
304 |
$185.99 |
| 90649 |
|
191 |
188 |
$0.00 |
| 90710 |
|
145 |
138 |
$0.00 |
| 90734 |
|
113 |
113 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 90658 |
|
38 |
34 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |