| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,384 |
1,293 |
$85K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
629 |
548 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
311 |
307 |
$32K |
| 90688 |
|
283 |
281 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
964 |
948 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
734 |
729 |
$2K |
| 90670 |
|
340 |
337 |
$2K |
| 90687 |
|
109 |
107 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
713 |
702 |
$614.96 |
| 90698 |
|
318 |
315 |
$515.78 |
| 90633 |
|
37 |
37 |
$232.16 |
| 90473 |
|
106 |
106 |
$43.56 |
| 99188 |
|
12 |
12 |
$0.00 |
| 90680 |
|
120 |
120 |
$0.00 |
| 90744 |
|
28 |
27 |
$0.00 |