| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
662 |
660 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
345 |
345 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
180 |
178 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,085 |
577 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
996 |
992 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
52 |
$5K |
| 99429 |
|
41 |
41 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
74 |
74 |
$602.36 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$479.57 |
| 90686 |
|
246 |
244 |
$71.72 |
| 90633 |
|
56 |
56 |
$34.30 |
| 90648 |
|
146 |
146 |
$0.00 |
| 90670 |
|
158 |
158 |
$0.00 |
| 90723 |
|
36 |
36 |
$0.00 |