| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,929 |
10,720 |
$897K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,223 |
7,136 |
$284K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,450 |
2,434 |
$261K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,092 |
2,072 |
$224K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,557 |
1,538 |
$177K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,674 |
1,626 |
$167K |
| 99173 |
|
4,276 |
4,244 |
$31K |
| 92551 |
|
4,309 |
4,272 |
$27K |
| 99174 |
|
1,275 |
1,265 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
957 |
950 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$315.36 |
| 90696 |
|
30 |
29 |
$0.00 |
| 90723 |
|
865 |
857 |
$0.00 |
| 90651 |
|
376 |
376 |
$0.00 |
| 90716 |
|
485 |
483 |
$0.00 |
| 90686 |
|
4,003 |
3,971 |
$0.00 |
| 90620 |
|
46 |
46 |
$0.00 |
| 90633 |
|
492 |
490 |
$0.00 |
| 90461 |
|
2,427 |
2,405 |
$0.00 |
| 90670 |
|
1,350 |
1,335 |
$0.00 |
| 90681 |
|
417 |
413 |
$0.00 |
| 90707 |
|
484 |
483 |
$0.00 |
| 90648 |
|
1,243 |
1,233 |
$0.00 |
| 90734 |
|
219 |
219 |
$0.00 |
| 90710 |
|
41 |
41 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |
| 90685 |
|
37 |
37 |
$0.00 |