| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
948 |
898 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
489 |
414 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
442 |
392 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,153 |
956 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
279 |
201 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,210 |
990 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
329 |
269 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
587 |
464 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
54 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
38 |
$3K |
| 96127 |
|
142 |
125 |
$645.86 |
| 99173 |
|
22 |
18 |
$78.25 |
| 96161 |
|
41 |
26 |
$2.16 |
| 90686 |
|
374 |
304 |
$0.00 |
| 90688 |
|
92 |
80 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 90648 |
|
16 |
14 |
$0.00 |
| 90670 |
|
74 |
53 |
$0.00 |
| 90685 |
|
87 |
68 |
$0.00 |