| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
527 |
483 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
204 |
200 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
216 |
214 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
192 |
184 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
153 |
144 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
511 |
503 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
480 |
289 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
173 |
139 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
54 |
$1K |
| 90677 |
|
30 |
29 |
$0.11 |
| 90697 |
|
13 |
13 |
$0.04 |
| 90686 |
|
188 |
176 |
$0.00 |
| 90651 |
|
45 |
45 |
$0.00 |
| 90633 |
|
25 |
24 |
$0.00 |
| 90672 |
|
12 |
12 |
$0.00 |