| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,909 |
3,695 |
$330K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,543 |
1,482 |
$83K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
514 |
504 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
469 |
431 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
346 |
327 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
272 |
259 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
182 |
171 |
$26K |
| 90461 |
|
450 |
429 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
509 |
486 |
$14K |
| 90480 |
|
30 |
30 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
44 |
42 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$659.58 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
43 |
39 |
$469.57 |
| 90686 |
|
665 |
353 |
$332.00 |
| 96127 |
|
28 |
28 |
$218.12 |
| 90670 |
|
19 |
14 |
$9.50 |