| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
944 |
731 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
848 |
675 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
506 |
426 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
379 |
334 |
$19K |
| 90461 |
|
588 |
534 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
976 |
885 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,190 |
1,063 |
$3K |
| 90671 |
|
223 |
218 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
328 |
257 |
$1K |
| 90686 |
|
181 |
173 |
$481.92 |
| 90680 |
|
165 |
162 |
$375.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
207 |
156 |
$114.64 |
| 90698 |
|
24 |
24 |
$106.18 |
| 81002 |
|
213 |
183 |
$77.62 |
| 90656 |
|
64 |
63 |
$44.70 |
| 90670 |
|
43 |
37 |
$27.62 |
| 90697 |
|
56 |
54 |
$0.00 |
| 99173 |
|
180 |
176 |
$0.00 |