| Code | Description | Claims | Beneficiaries | Total Paid |
| 96127 |
|
274 |
262 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
209 |
187 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
81 |
77 |
$0.00 |
| 92551 |
|
196 |
188 |
$0.00 |
| 90686 |
|
100 |
93 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$0.00 |
| 90651 |
|
14 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
29 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
658 |
584 |
$0.00 |
| 90734 |
|
26 |
24 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
79 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
82 |
78 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
145 |
130 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$0.00 |
| 99173 |
|
219 |
209 |
$0.00 |
| 90461 |
|
60 |
54 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
52 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
26 |
$0.00 |