| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
468 |
431 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
163 |
157 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
73 |
73 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
51 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
98 |
92 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
25 |
$2K |
| 90688 |
|
122 |
120 |
$1K |
| 96127 |
|
259 |
238 |
$688.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
32 |
$420.00 |
| 90670 |
|
47 |
47 |
$290.00 |
| 90698 |
|
15 |
15 |
$100.00 |
| 90680 |
|
15 |
15 |
$100.00 |
| 90633 |
|
12 |
12 |
$80.00 |
| 99173 |
|
43 |
43 |
$72.00 |
| 92551 |
|
42 |
42 |
$72.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
12 |
$62.91 |
| 96160 |
|
50 |
49 |
$17.40 |
| 96161 |
|
14 |
14 |
$13.92 |