| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,975 |
2,545 |
$209K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,535 |
3,263 |
$199K |
| 90670 |
|
1,340 |
1,122 |
$161K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,529 |
1,409 |
$116K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,412 |
2,054 |
$72K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,642 |
2,543 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
583 |
537 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,484 |
3,142 |
$44K |
| 90723 |
|
563 |
481 |
$27K |
| 90680 |
|
439 |
396 |
$25K |
| 90686 |
|
1,227 |
1,087 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
329 |
293 |
$13K |
| 99215 |
Prolong outpt/office vis |
78 |
76 |
$9K |
| 90647 |
|
531 |
485 |
$8K |
| 90710 |
|
15 |
14 |
$2K |
| 90698 |
|
27 |
27 |
$2K |
| 90474 |
|
179 |
160 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
37 |
$1K |
| 90633 |
|
62 |
55 |
$1K |
| 90461 |
|
45 |
38 |
$0.00 |