| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
325 |
281 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
505 |
454 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,102 |
475 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
38 |
$3K |
| 90461 |
|
602 |
185 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
15 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
156 |
96 |
$856.27 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
27 |
$580.56 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$551.98 |
| 99000 |
|
43 |
38 |
$299.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
13 |
$89.36 |
| 90686 |
|
178 |
173 |
$0.01 |
| 99072 |
|
812 |
714 |
$0.00 |
| 90670 |
|
47 |
46 |
$0.00 |
| 90648 |
|
20 |
19 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |