| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,447 |
10,977 |
$379K |
| 99233 |
Prolong inpt eval add15 m |
3,104 |
1,329 |
$226K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,853 |
5,721 |
$215K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,928 |
6,245 |
$190K |
| 99223 |
Prolong inpt eval add15 m |
1,343 |
1,249 |
$189K |
| 99460 |
|
1,918 |
1,892 |
$126K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,450 |
3,400 |
$123K |
| 99462 |
|
2,753 |
1,913 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,937 |
1,910 |
$70K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
879 |
866 |
$40K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,450 |
1,434 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
382 |
363 |
$5K |
| 99383 |
|
56 |
55 |
$3K |
| 59514 |
|
13 |
13 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$200.59 |
| 90688 |
|
460 |
432 |
$76.17 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90680 |
|
285 |
283 |
$0.00 |
| 90698 |
|
128 |
127 |
$0.00 |
| 90716 |
|
40 |
40 |
$0.00 |
| 90744 |
|
15 |
15 |
$0.00 |
| 90677 |
|
76 |
76 |
$0.00 |
| 90657 |
|
19 |
19 |
$0.00 |
| 90670 |
|
346 |
339 |
$0.00 |
| 90700 |
|
40 |
38 |
$0.00 |
| 90648 |
|
52 |
51 |
$0.00 |
| 90658 |
|
76 |
63 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90687 |
|
125 |
122 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |