| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
979 |
923 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
561 |
473 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
370 |
355 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
316 |
293 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
316 |
294 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
45 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
45 |
39 |
$3K |
| 99460 |
|
17 |
17 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
55 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
44 |
37 |
$377.29 |
| 36416 |
|
124 |
110 |
$56.40 |
| 90670 |
|
218 |
218 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 90698 |
|
233 |
231 |
$0.00 |
| 90686 |
|
288 |
285 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |