| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
2,218 |
2,202 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,772 |
4,091 |
$793.15 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
783 |
779 |
$637.70 |
| 97803 |
|
918 |
918 |
$306.80 |
| 92552 |
|
1,871 |
1,869 |
$226.42 |
| G9920 |
Screening performed and negative |
1,018 |
1,017 |
$158.71 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,276 |
2,919 |
$98.18 |
| 97802 |
|
1,556 |
1,547 |
$90.75 |
| 99173 |
|
2,538 |
2,534 |
$60.00 |
| 96127 |
|
837 |
832 |
$4.76 |
| 92551 |
|
651 |
650 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,921 |
1,409 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
88 |
88 |
$0.00 |
| 96151 |
|
50 |
50 |
$0.00 |
| 90686 |
|
819 |
817 |
$0.00 |
| 99406 |
|
37 |
37 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| 96150 |
|
95 |
95 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| 81000 |
|
14 |
12 |
$0.00 |
| 90651 |
|
25 |
25 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
378 |
377 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
415 |
415 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
738 |
552 |
$0.00 |
| 90461 |
|
91 |
87 |
$0.00 |
| 99442 |
|
24 |
22 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
28 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
72 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
93 |
89 |
$0.00 |
| 98960 |
|
13 |
13 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |