| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,071 |
980 |
$52K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
704 |
688 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
97 |
95 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
82 |
$6K |
| 3008F |
|
321 |
316 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
235 |
234 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$1K |
| 99173 |
|
274 |
274 |
$456.79 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
36 |
36 |
$167.16 |
| 99072 |
|
54 |
53 |
$0.00 |