| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,868 |
1,852 |
$173K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
970 |
954 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,012 |
1,904 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
580 |
570 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
197 |
180 |
$12K |
| 90686 |
|
900 |
886 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
259 |
246 |
$7K |
| 90670 |
|
827 |
818 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
505 |
501 |
$5K |
| 90723 |
|
455 |
449 |
$3K |
| 90647 |
|
459 |
451 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
209 |
203 |
$2K |
| 90680 |
|
261 |
258 |
$2K |
| 92551 |
|
687 |
676 |
$1K |
| 90633 |
|
194 |
192 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
83 |
83 |
$997.06 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
356 |
293 |
$941.30 |
| 99173 |
|
532 |
520 |
$863.36 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35 |
29 |
$843.70 |
| 83655 |
|
583 |
574 |
$771.94 |
| 99177 |
|
46 |
46 |
$156.75 |
| 90707 |
|
12 |
12 |
$110.00 |
| 90710 |
|
12 |
12 |
$80.00 |
| 85018 |
|
40 |
40 |
$40.81 |
| 96161 |
|
13 |
13 |
$0.00 |