| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,045 |
2,879 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,444 |
1,292 |
$95K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,255 |
1,185 |
$94K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,271 |
1,165 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,573 |
1,323 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
703 |
636 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
234 |
192 |
$17K |
| 99381 |
|
27 |
25 |
$2K |
| 99173 |
|
789 |
683 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$309.70 |
| 99188 |
|
21 |
21 |
$258.60 |
| 90723 |
|
402 |
368 |
$0.00 |
| 90686 |
|
551 |
502 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90651 |
|
16 |
12 |
$0.00 |
| 90633 |
|
149 |
142 |
$0.00 |
| 90685 |
|
193 |
191 |
$0.00 |
| 90648 |
|
552 |
513 |
$0.00 |
| 90670 |
|
743 |
671 |
$0.00 |
| 90461 |
|
200 |
196 |
$0.00 |
| 90681 |
|
277 |
256 |
$0.00 |
| 90734 |
|
20 |
14 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |