| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
336 |
316 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
155 |
149 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
95 |
95 |
$8K |
| 92587 |
|
149 |
143 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
76 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
401 |
359 |
$4K |
| 97802 |
|
109 |
109 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
120 |
110 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
103 |
103 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
91 |
91 |
$984.64 |
| 90461 |
|
24 |
24 |
$480.18 |
| 90686 |
|
177 |
162 |
$92.50 |
| 96127 |
|
16 |
16 |
$47.24 |