| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,064 |
2,691 |
$117K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
232 |
228 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
239 |
237 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
426 |
425 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
526 |
519 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
61 |
61 |
$3K |
| 90686 |
|
344 |
343 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
127 |
127 |
$728.84 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
56 |
56 |
$593.34 |
| 3008F |
|
645 |
629 |
$27.00 |
| 99072 |
|
39 |
37 |
$0.00 |
| 99070 |
|
24 |
24 |
$0.00 |