| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,390 |
1,013 |
$253K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20,711 |
15,227 |
$188K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30,059 |
22,202 |
$146K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,032 |
663 |
$142K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
485 |
265 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
108 |
107 |
$9K |
| 86580 |
|
3,237 |
2,521 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,431 |
1,144 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
406 |
346 |
$3K |
| 99382 |
|
13 |
12 |
$1K |
| 92551 |
|
65 |
64 |
$561.13 |
| 90715 |
|
4,762 |
4,394 |
$285.83 |
| 90716 |
|
3,857 |
3,666 |
$224.00 |
| 90651 |
|
3,443 |
3,082 |
$203.31 |
| 90707 |
|
3,719 |
3,542 |
$145.68 |
| 99173 |
|
67 |
66 |
$106.71 |
| 90700 |
|
448 |
433 |
$0.00 |
| 90633 |
|
2,085 |
1,941 |
$0.00 |
| 90681 |
|
433 |
418 |
$0.00 |
| 90734 |
|
2,177 |
1,855 |
$0.00 |
| 90670 |
|
1,301 |
1,254 |
$0.00 |
| 82948 |
|
120 |
119 |
$0.00 |
| 90671 |
|
321 |
320 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 90698 |
|
897 |
871 |
$0.00 |
| 90696 |
|
2,474 |
2,382 |
$0.00 |
| 90697 |
|
620 |
616 |
$0.00 |
| 90686 |
|
771 |
740 |
$0.00 |
| 90677 |
|
451 |
447 |
$0.00 |
| 90619 |
|
384 |
383 |
$0.00 |
| 90647 |
|
206 |
204 |
$0.00 |
| 90723 |
|
102 |
102 |
$0.00 |
| 90474 |
|
256 |
132 |
$0.00 |
| 90744 |
|
208 |
205 |
$0.00 |
| 90656 |
|
27 |
27 |
$0.00 |