| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
615 |
613 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
510 |
508 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
157 |
157 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,079 |
1,945 |
$3K |
| G9920 |
Screening performed and negative |
188 |
187 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
49 |
49 |
$2K |
| 92552 |
|
406 |
405 |
$2K |
| 90686 |
|
332 |
331 |
$1K |
| 90688 |
|
132 |
132 |
$441.00 |
| 90685 |
|
43 |
43 |
$204.92 |
| 96156 |
|
16 |
16 |
$170.80 |
| 90707 |
|
36 |
36 |
$153.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
59 |
54 |
$113.12 |
| 90716 |
|
12 |
12 |
$63.00 |
| 90670 |
|
17 |
16 |
$63.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
226 |
225 |
$40.10 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
174 |
97 |
$9.00 |
| 97802 |
|
198 |
198 |
$0.18 |
| 99173 |
|
293 |
292 |
$0.00 |
| 99401 |
|
115 |
114 |
$0.00 |
| 97803 |
|
86 |
85 |
$0.00 |