| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,452 |
6,792 |
$101K |
| G9920 |
Screening performed and negative |
3,199 |
3,181 |
$57K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,749 |
1,743 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,801 |
1,795 |
$51K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
468 |
458 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
863 |
860 |
$33K |
| 92552 |
|
2,782 |
2,781 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,697 |
1,215 |
$23K |
| 92551 |
|
1,324 |
1,310 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
298 |
295 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
52 |
$6K |
| 90700 |
|
902 |
898 |
$6K |
| 90686 |
|
1,047 |
1,046 |
$6K |
| 99173 |
|
1,762 |
1,760 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
497 |
495 |
$4K |
| 90713 |
|
588 |
585 |
$3K |
| 90648 |
|
402 |
402 |
$3K |
| 90670 |
|
339 |
338 |
$2K |
| 90685 |
|
262 |
260 |
$2K |
| 92060 |
|
491 |
491 |
$766.40 |
| 83026 |
|
264 |
264 |
$666.63 |
| 90658 |
|
132 |
132 |
$521.08 |
| 90656 |
|
98 |
97 |
$423.00 |
| 99383 |
|
12 |
12 |
$376.85 |
| 90651 |
|
75 |
75 |
$274.76 |
| 90680 |
|
38 |
38 |
$216.00 |
| 90744 |
|
36 |
36 |
$162.00 |
| 90677 |
|
14 |
12 |
$99.00 |
| 90633 |
|
40 |
40 |
$54.00 |
| 92081 |
|
980 |
977 |
$49.42 |
| 90657 |
|
13 |
13 |
$27.00 |
| 90672 |
|
13 |
13 |
$9.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90716 |
|
26 |
26 |
$0.00 |