| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,129 |
2,127 |
$147K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,923 |
1,922 |
$132K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,886 |
2,776 |
$112K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,664 |
1,659 |
$106K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,266 |
1,266 |
$92K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,914 |
2,909 |
$73K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,098 |
3,084 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
535 |
530 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,653 |
1,645 |
$12K |
| G9007 |
Coordinated care fee, scheduled team conference |
64 |
63 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,712 |
1,699 |
$5K |
| 99381 |
|
27 |
27 |
$2K |
| 99383 |
|
16 |
16 |
$1K |
| 99441 |
|
122 |
118 |
$1K |
| 81002 |
|
701 |
698 |
$973.17 |
| 90651 |
|
268 |
268 |
$430.22 |
| 96127 |
|
72 |
72 |
$291.48 |
| 90474 |
|
37 |
37 |
$134.72 |
| 90734 |
|
309 |
309 |
$128.60 |
| 90688 |
|
305 |
304 |
$107.74 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
61 |
58 |
$84.61 |
| 90686 |
|
1,213 |
1,208 |
$60.25 |
| 81000 |
|
17 |
17 |
$44.80 |
| 90658 |
|
87 |
87 |
$27.18 |
| 94760 |
|
27 |
27 |
$25.54 |
| 90698 |
|
529 |
529 |
$0.00 |
| 90696 |
|
69 |
69 |
$0.00 |
| 90680 |
|
665 |
665 |
$0.00 |
| 90723 |
|
46 |
46 |
$0.00 |
| 90744 |
|
246 |
245 |
$0.00 |
| 90716 |
|
16 |
16 |
$0.00 |
| 90670 |
|
1,462 |
1,461 |
$0.00 |
| 99080 |
|
749 |
748 |
$0.00 |
| 90633 |
|
750 |
749 |
$0.00 |
| 90710 |
|
399 |
399 |
$0.00 |
| 90648 |
|
312 |
312 |
$0.00 |
| 90649 |
|
167 |
166 |
$0.00 |
| 90700 |
|
132 |
132 |
$0.00 |
| 90681 |
|
27 |
27 |
$0.00 |
| 90685 |
|
425 |
424 |
$0.00 |
| 90671 |
|
44 |
44 |
$0.00 |
| 90715 |
|
68 |
68 |
$0.00 |
| 99499 |
|
14 |
14 |
$0.00 |
| 90713 |
|
33 |
33 |
$0.00 |
| 90707 |
|
16 |
16 |
$0.00 |
| 90655 |
|
70 |
70 |
$0.00 |