| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
924 |
765 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
286 |
192 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
195 |
136 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,190 |
882 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,197 |
888 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
505 |
354 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$2K |
| 99383 |
|
16 |
12 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
24 |
$506.29 |
| 96127 |
|
131 |
74 |
$427.41 |
| 90686 |
|
321 |
245 |
$354.98 |
| 96161 |
|
88 |
53 |
$158.32 |
| 99173 |
|
37 |
30 |
$105.82 |
| 90474 |
|
20 |
13 |
$16.88 |
| 90670 |
|
41 |
41 |
$0.00 |