| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,041 |
2,441 |
$155K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
213 |
207 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
158 |
154 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
473 |
470 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
104 |
103 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
373 |
371 |
$3K |
| 92551 |
|
223 |
222 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 99173 |
|
230 |
229 |
$1K |
| 96127 |
|
320 |
318 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$831.30 |
| 90461 |
|
73 |
73 |
$613.63 |
| 86580 |
|
91 |
89 |
$587.40 |
| 3008F |
|
751 |
738 |
$390.00 |
| 90688 |
|
55 |
55 |
$264.35 |
| 96160 |
|
148 |
147 |
$248.21 |
| 99188 |
|
12 |
12 |
$230.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$168.06 |
| 95117 |
|
16 |
12 |
$117.40 |
| 36416 |
|
13 |
13 |
$71.80 |
| 99000 |
|
12 |
12 |
$0.00 |