| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
877 |
814 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
162 |
158 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
115 |
115 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
651 |
635 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
782 |
637 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 99177 |
|
332 |
327 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
212 |
205 |
$966.00 |
| 90686 |
|
174 |
172 |
$87.12 |
| 90698 |
|
13 |
13 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| 99051 |
|
60 |
60 |
$0.00 |
| 90670 |
|
24 |
24 |
$0.00 |