| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,035 |
11,538 |
$2.20M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,727 |
3,322 |
$577K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,084 |
3,084 |
$452K |
| 92551 |
|
2,639 |
2,639 |
$451K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,466 |
2,282 |
$426K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,619 |
2,618 |
$38K |
| 96160 |
|
705 |
705 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
925 |
925 |
$12K |
| 90686 |
|
878 |
878 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
420 |
418 |
$6K |
| 99173 |
|
1,148 |
1,148 |
$1K |
| 90633 |
|
243 |
243 |
$318.70 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
44 |
43 |
$159.35 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,058 |
2,057 |
$0.00 |
| 90671 |
|
223 |
223 |
$0.00 |
| 90670 |
|
86 |
86 |
$0.00 |
| 90734 |
|
40 |
40 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90723 |
|
207 |
207 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,808 |
3,806 |
$0.00 |
| 90677 |
|
24 |
24 |
$0.00 |
| 90680 |
|
164 |
164 |
$0.00 |
| 90647 |
|
168 |
168 |
$0.00 |
| 90656 |
|
120 |
120 |
$0.00 |
| 90651 |
|
17 |
17 |
$0.00 |