| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,171 |
8,472 |
$230K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,455 |
4,344 |
$119K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,145 |
2,113 |
$98K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,745 |
1,727 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,689 |
1,672 |
$80K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,378 |
4,263 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,144 |
3,012 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
949 |
911 |
$42K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,013 |
1,954 |
$28K |
| 90619 |
|
184 |
174 |
$18K |
| 90461 |
|
1,516 |
1,490 |
$16K |
| 90651 |
|
323 |
313 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
711 |
694 |
$12K |
| 92551 |
|
3,867 |
3,808 |
$11K |
| 90677 |
|
59 |
56 |
$10K |
| 90686 |
|
1,607 |
1,552 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
89 |
87 |
$4K |
| 99173 |
|
3,833 |
3,775 |
$3K |
| 90670 |
|
315 |
302 |
$2K |
| 90734 |
|
88 |
86 |
$2K |
| 90716 |
|
152 |
142 |
$2K |
| 90700 |
|
614 |
584 |
$991.61 |
| 90715 |
|
120 |
111 |
$896.84 |
| 90707 |
|
121 |
112 |
$701.33 |
| 90713 |
|
464 |
439 |
$696.82 |
| 90688 |
|
31 |
31 |
$544.52 |
| 90633 |
|
184 |
178 |
$507.34 |
| 90744 |
|
156 |
150 |
$371.08 |
| 90648 |
|
327 |
313 |
$210.48 |
| 90680 |
|
72 |
71 |
$179.20 |
| 90698 |
|
12 |
12 |
$105.34 |
| 90658 |
|
22 |
22 |
$43.24 |
| 86403 |
|
26 |
25 |
$0.00 |