| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,344 |
1,208 |
$61K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
640 |
636 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
96 |
$7K |
| 92552 |
|
463 |
461 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
69 |
$5K |
| 3008F |
|
533 |
531 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
220 |
220 |
$2K |
| 90656 |
|
81 |
81 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
193 |
192 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$805.68 |
| 99173 |
|
464 |
463 |
$724.96 |
| 90686 |
|
187 |
186 |
$547.19 |
| 96127 |
|
165 |
165 |
$437.25 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$245.20 |