| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
295 |
267 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
218 |
189 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
160 |
128 |
$8K |
| 96160 |
|
420 |
356 |
$6K |
| 90686 |
|
275 |
252 |
$3K |
| 90670 |
|
234 |
185 |
$3K |
| 96127 |
|
131 |
124 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35 |
31 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
67 |
63 |
$2K |
| 90723 |
|
97 |
65 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
12 |
$821.59 |
| 90647 |
|
64 |
51 |
$603.63 |
| 90680 |
|
38 |
26 |
$432.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
106 |
103 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
36 |
36 |
$0.00 |