| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,595 |
2,041 |
$180K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,293 |
1,142 |
$101K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,659 |
2,425 |
$43K |
| 99460 |
|
356 |
338 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
227 |
195 |
$11K |
| 90670 |
|
684 |
603 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
109 |
98 |
$9K |
| 90698 |
|
554 |
467 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
85 |
$7K |
| 90744 |
|
413 |
348 |
$6K |
| 90681 |
|
311 |
263 |
$5K |
| 90677 |
|
131 |
101 |
$4K |
| 90633 |
|
251 |
222 |
$4K |
| 99462 |
|
143 |
111 |
$3K |
| 90686 |
|
182 |
158 |
$3K |
| 90700 |
|
81 |
54 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$672.34 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
15 |
$414.70 |
| 90734 |
|
21 |
12 |
$313.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
14 |
$309.12 |
| 90651 |
|
16 |
16 |
$267.36 |
| 85018 |
|
109 |
99 |
$250.98 |
| 90707 |
|
13 |
12 |
$217.23 |
| 90648 |
|
12 |
12 |
$200.52 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
55 |
46 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$0.00 |