| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,197 |
7,881 |
$275K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,299 |
1,242 |
$109K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,158 |
1,117 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,018 |
982 |
$90K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
546 |
529 |
$48K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,269 |
4,154 |
$18K |
| 92551 |
|
1,871 |
1,799 |
$5K |
| 99173 |
|
1,802 |
1,732 |
$3K |
| 90686 |
|
271 |
259 |
$2K |
| 90648 |
|
227 |
212 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,811 |
1,757 |
$2K |
| 90670 |
|
201 |
189 |
$1K |
| 81002 |
|
457 |
437 |
$586.94 |
| 90700 |
|
63 |
63 |
$282.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
986 |
871 |
$248.78 |
| 90734 |
|
54 |
40 |
$200.00 |
| 90671 |
|
14 |
14 |
$140.00 |
| 90680 |
|
12 |
12 |
$120.00 |
| 90715 |
|
36 |
31 |
$0.00 |
| 90710 |
|
15 |
14 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| 90619 |
|
21 |
15 |
$0.00 |