| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,668 |
2,176 |
$151K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,072 |
1,538 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
396 |
292 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
233 |
214 |
$21K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
635 |
500 |
$17K |
| 90686 |
|
875 |
655 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 92551 |
|
205 |
165 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99460 |
|
19 |
15 |
$989.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
80 |
76 |
$500.33 |
| 90685 |
|
15 |
15 |
$316.96 |
| 94760 |
|
166 |
131 |
$297.47 |
| 99173 |
|
47 |
38 |
$92.16 |
| 96127 |
|
13 |
13 |
$59.94 |
| 90670 |
|
62 |
52 |
$0.05 |
| 90647 |
|
25 |
25 |
$0.01 |
| 90723 |
|
12 |
12 |
$0.01 |
| 90633 |
|
13 |
12 |
$0.00 |