| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
925 |
808 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
959 |
836 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
543 |
498 |
$27K |
| 90670 |
|
845 |
724 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
89 |
$8K |
| 96160 |
|
555 |
500 |
$8K |
| 90723 |
|
573 |
503 |
$8K |
| 90686 |
|
579 |
489 |
$7K |
| 90680 |
|
463 |
403 |
$7K |
| 90647 |
|
581 |
498 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
200 |
185 |
$4K |
| 90633 |
|
270 |
236 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
22 |
21 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$2K |
| 96127 |
|
106 |
99 |
$2K |
| 90707 |
|
33 |
30 |
$293.70 |
| 90716 |
|
33 |
30 |
$293.70 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
337 |
290 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
497 |
413 |
$0.00 |
| 90474 |
|
113 |
111 |
$0.00 |