| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,814 |
1,489 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,563 |
2,325 |
$123K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,217 |
994 |
$83K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
862 |
807 |
$65K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,630 |
1,358 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
390 |
363 |
$27K |
| 96127 |
|
1,572 |
1,466 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
192 |
175 |
$15K |
| 90686 |
|
1,442 |
1,260 |
$15K |
| 90670 |
|
680 |
538 |
$13K |
| 90677 |
|
115 |
93 |
$9K |
| 90723 |
|
261 |
204 |
$3K |
| 90647 |
|
244 |
183 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
208 |
173 |
$3K |
| 90680 |
|
185 |
143 |
$2K |
| 90656 |
|
121 |
117 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
51 |
$1K |
| 90651 |
|
47 |
31 |
$983.59 |
| 90633 |
|
108 |
85 |
$812.92 |
| 90734 |
|
27 |
25 |
$555.04 |
| 90707 |
|
15 |
13 |
$166.92 |
| 90698 |
|
16 |
16 |
$102.40 |
| 90681 |
|
12 |
12 |
$76.80 |
| 85018 |
|
21 |
12 |
$44.08 |
| 90461 |
|
26 |
26 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
50 |
50 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$0.00 |