| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,554 |
2,341 |
$89K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
906 |
876 |
$83K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
746 |
730 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
729 |
667 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
145 |
145 |
$13K |
| 99173 |
|
1,406 |
1,374 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
829 |
788 |
$6K |
| 90686 |
|
956 |
948 |
$5K |
| 92551 |
|
482 |
480 |
$5K |
| 90698 |
|
160 |
136 |
$940.00 |
| 90670 |
|
86 |
84 |
$700.00 |
| 90671 |
|
24 |
24 |
$356.20 |
| 90680 |
|
46 |
46 |
$280.00 |
| 96127 |
|
69 |
69 |
$276.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
12 |
$207.60 |
| 90633 |
|
13 |
13 |
$130.00 |
| 90710 |
|
12 |
12 |
$120.00 |
| 90651 |
|
12 |
12 |
$0.00 |