| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,377 |
1,977 |
$116K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
607 |
592 |
$18K |
| 92587 |
|
469 |
447 |
$17K |
| 92567 |
|
563 |
514 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
591 |
566 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171 |
163 |
$11K |
| 90686 |
|
323 |
317 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
101 |
99 |
$6K |
| 99173 |
|
208 |
207 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
138 |
129 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
57 |
56 |
$4K |
| 92552 |
|
40 |
40 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
30 |
$858.75 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$796.23 |
| 92551 |
|
13 |
12 |
$684.95 |