| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,915 |
1,911 |
$191K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,509 |
1,445 |
$140K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,191 |
1,179 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,096 |
1,049 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
399 |
396 |
$39K |
| 90686 |
|
867 |
817 |
$6K |
| 90648 |
|
911 |
908 |
$6K |
| 90670 |
|
873 |
870 |
$5K |
| 90723 |
|
641 |
641 |
$4K |
| 90680 |
|
531 |
531 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
24 |
$3K |
| 90633 |
|
408 |
400 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
77 |
71 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
60 |
60 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
65 |
$650.00 |
| 90677 |
|
50 |
50 |
$568.00 |
| 90656 |
|
40 |
40 |
$468.00 |
| 90707 |
|
71 |
71 |
$346.00 |
| 99188 |
|
19 |
19 |
$345.00 |
| 90716 |
|
69 |
69 |
$322.00 |
| 90700 |
|
44 |
41 |
$288.00 |
| 90696 |
|
29 |
26 |
$216.00 |
| 90710 |
|
31 |
28 |
$144.00 |
| 85018 |
|
50 |
50 |
$52.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19 |
14 |
$8.74 |
| 96161 |
|
97 |
96 |
$0.00 |
| 96127 |
|
15 |
12 |
$0.00 |
| 92551 |
|
20 |
17 |
$0.00 |
| 99177 |
|
15 |
12 |
$0.00 |
| 96160 |
|
15 |
12 |
$0.00 |