| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,756 |
2,743 |
$62K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,212 |
2,204 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,243 |
10,162 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,698 |
1,671 |
$43K |
| 92551 |
|
4,804 |
4,773 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,004 |
2,022 |
$22K |
| 92552 |
|
1,951 |
1,948 |
$17K |
| 96156 |
|
619 |
500 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
321 |
307 |
$10K |
| 99173 |
|
5,815 |
5,804 |
$7K |
| 90651 |
|
958 |
947 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,307 |
1,301 |
$5K |
| 90670 |
|
433 |
414 |
$4K |
| 90656 |
|
916 |
903 |
$3K |
| 90734 |
|
491 |
485 |
$3K |
| 90620 |
|
441 |
426 |
$3K |
| 90648 |
|
406 |
397 |
$3K |
| 90716 |
|
316 |
304 |
$2K |
| 90686 |
|
425 |
424 |
$2K |
| 90707 |
|
293 |
288 |
$2K |
| 90723 |
|
261 |
249 |
$2K |
| 90680 |
|
164 |
155 |
$1K |
| 90700 |
|
264 |
254 |
$1K |
| 90633 |
|
286 |
276 |
$1K |
| 90461 |
|
151 |
142 |
$868.00 |
| 90715 |
|
185 |
181 |
$750.71 |
| 90713 |
|
80 |
80 |
$304.86 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$297.24 |
| 90655 |
|
84 |
81 |
$162.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
910 |
836 |
$162.00 |
| 99384 |
|
55 |
49 |
$112.02 |
| 99383 |
|
44 |
44 |
$103.29 |
| 97803 |
|
880 |
797 |
$71.17 |
| 81002 |
|
83 |
80 |
$15.83 |
| 99401 |
|
44 |
44 |
$0.00 |
| 90649 |
|
14 |
14 |
$0.00 |
| G9920 |
Screening performed and negative |
40 |
35 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
44 |
44 |
$0.00 |
| 96127 |
|
198 |
163 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
44 |
44 |
$0.00 |
| 97802 |
|
44 |
44 |
$0.00 |
| 99172 |
|
12 |
12 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |