| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,218 |
2,123 |
$190K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
552 |
529 |
$77K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,448 |
1,396 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
383 |
371 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
367 |
355 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
268 |
236 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
185 |
173 |
$26K |
| 90461 |
|
320 |
294 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
576 |
548 |
$16K |
| 90480 |
|
95 |
92 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
105 |
96 |
$3K |
| 90686 |
|
735 |
400 |
$367.50 |
| 96127 |
|
39 |
39 |
$303.81 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
14 |
$181.24 |
| 90656 |
|
13 |
13 |
$6.50 |
| 90685 |
|
12 |
12 |
$6.00 |