| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
789 |
724 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
537 |
520 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
382 |
368 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,090 |
1,069 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
623 |
608 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
99 |
98 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
667 |
656 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
71 |
70 |
$4K |
| 90461 |
|
128 |
126 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
207 |
202 |
$2K |
| 90686 |
|
34 |
20 |
$16.00 |