| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,740 |
1,641 |
$75K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,489 |
1,105 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
253 |
221 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
428 |
358 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
963 |
810 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
103 |
92 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
88 |
82 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
384 |
328 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99381 |
|
14 |
12 |
$882.25 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$326.91 |
| 90474 |
|
42 |
39 |
$275.08 |
| 96161 |
|
51 |
37 |
$2.77 |
| 90670 |
|
131 |
124 |
$0.00 |
| 90685 |
|
56 |
55 |
$0.00 |
| 90648 |
|
39 |
38 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90686 |
|
277 |
229 |
$0.00 |
| 90723 |
|
13 |
12 |
$0.00 |
| 90688 |
|
84 |
75 |
$0.00 |
| 90680 |
|
42 |
39 |
$0.00 |
| 90647 |
|
44 |
40 |
$0.00 |