| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,421 |
1,307 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
857 |
720 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
547 |
494 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
701 |
523 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,432 |
1,205 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
345 |
320 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,853 |
1,556 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,044 |
842 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
32 |
$3K |
| 99177 |
|
160 |
137 |
$936.19 |
| 99173 |
|
171 |
156 |
$893.10 |
| 90474 |
|
129 |
121 |
$799.06 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
29 |
$776.75 |
| 96127 |
|
158 |
143 |
$775.98 |
| 96161 |
|
103 |
71 |
$8.31 |
| 90680 |
|
152 |
134 |
$0.00 |
| 90686 |
|
382 |
312 |
$0.00 |
| 90688 |
|
267 |
243 |
$0.00 |
| 90647 |
|
183 |
164 |
$0.00 |
| 90716 |
|
134 |
120 |
$0.00 |
| 90723 |
|
47 |
44 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90633 |
|
113 |
106 |
$0.00 |
| 90707 |
|
126 |
110 |
$0.00 |
| 90685 |
|
208 |
195 |
$0.00 |
| 90670 |
|
497 |
387 |
$0.00 |
| 90461 |
|
21 |
20 |
$0.00 |
| 90648 |
|
14 |
13 |
$0.00 |