| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
969 |
889 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
201 |
187 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
198 |
198 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
143 |
142 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
59 |
52 |
$3K |
| 99383 |
|
12 |
12 |
$1K |
| 96127 |
|
35 |
32 |
$584.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
34 |
31 |
$530.31 |
| 90716 |
|
34 |
34 |
$390.40 |
| 99406 |
|
64 |
49 |
$356.96 |
| 90734 |
|
36 |
35 |
$354.75 |
| 90649 |
|
48 |
48 |
$316.80 |
| 99460 |
|
28 |
27 |
$310.00 |
| 90670 |
|
39 |
39 |
$307.20 |
| 90633 |
|
25 |
25 |
$275.91 |
| 99381 |
|
12 |
12 |
$183.80 |
| 96160 |
|
34 |
31 |
$175.20 |
| 90658 |
|
27 |
27 |
$166.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$161.80 |
| 90707 |
|
18 |
18 |
$115.20 |
| 90461 |
|
162 |
146 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
371 |
279 |
$0.00 |