| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
682 |
575 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
782 |
671 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
587 |
465 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
907 |
792 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
269 |
239 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
192 |
176 |
$15K |
| 90670 |
|
431 |
368 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
397 |
336 |
$6K |
| 96127 |
|
399 |
360 |
$6K |
| 90686 |
|
433 |
377 |
$3K |
| 90698 |
|
196 |
179 |
$2K |
| 83655 |
|
162 |
129 |
$2K |
| 90723 |
|
183 |
148 |
$1K |
| 99381 |
|
13 |
12 |
$1K |
| 90647 |
|
173 |
138 |
$1K |
| 90680 |
|
151 |
123 |
$941.12 |
| 90734 |
|
72 |
59 |
$821.05 |
| 90633 |
|
78 |
71 |
$790.05 |
| 96160 |
|
56 |
42 |
$784.00 |
| 90651 |
|
70 |
62 |
$416.00 |
| 85018 |
|
168 |
146 |
$387.44 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
16 |
$192.62 |
| 90744 |
|
28 |
28 |
$179.20 |
| 90620 |
|
16 |
13 |
$96.00 |
| 90696 |
|
15 |
13 |
$89.60 |
| 90710 |
|
14 |
12 |
$83.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$17.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |