| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,396 |
1,309 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,726 |
1,525 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
574 |
546 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,086 |
1,259 |
$26K |
| 99381 |
|
205 |
196 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,405 |
1,350 |
$10K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
35 |
28 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
101 |
93 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
172 |
171 |
$4K |
| 99241 |
|
77 |
77 |
$3K |
| 86409 |
|
32 |
24 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
226 |
211 |
$2K |
| 90677 |
|
426 |
399 |
$400.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
31 |
$288.96 |
| 90461 |
|
131 |
120 |
$33.19 |
| 90680 |
|
532 |
485 |
$0.00 |
| 90647 |
|
225 |
199 |
$0.00 |
| 90698 |
|
115 |
102 |
$0.00 |
| 90723 |
|
280 |
253 |
$0.00 |
| 90633 |
|
174 |
168 |
$0.00 |
| 90670 |
|
504 |
453 |
$0.00 |
| 90648 |
|
177 |
172 |
$0.00 |
| 90700 |
|
15 |
15 |
$0.00 |