| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,699 |
3,336 |
$194K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,115 |
1,033 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
624 |
620 |
$76K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,813 |
2,200 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
206 |
205 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
151 |
147 |
$19K |
| 90461 |
|
261 |
255 |
$7K |
| 90686 |
|
372 |
365 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
80 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
296 |
261 |
$779.49 |
| 90688 |
|
14 |
14 |
$273.74 |
| 96127 |
|
88 |
87 |
$133.17 |
| 85018 |
|
38 |
38 |
$100.83 |
| 90656 |
|
36 |
36 |
$37.89 |