| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,806 |
3,885 |
$182K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
623 |
590 |
$8K |
| 92551 |
|
666 |
626 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
261 |
243 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
50 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
52 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
122 |
110 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
40 |
$3K |
| 99173 |
|
696 |
653 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$832.52 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
13 |
$524.98 |
| 0001A |
|
35 |
34 |
$513.03 |
| 0002A |
|
16 |
13 |
$389.20 |
| 99473 |
|
80 |
43 |
$124.87 |
| 85018 |
|
195 |
102 |
$123.56 |
| 81002 |
|
65 |
45 |
$79.21 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
44 |
14 |
$27.00 |
| 96160 |
|
88 |
29 |
$0.00 |
| 91300 |
|
65 |
58 |
$0.00 |
| 90686 |
|
141 |
137 |
$0.00 |
| 3008F |
|
78 |
76 |
$0.00 |
| 96127 |
|
53 |
19 |
$0.00 |