| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,677 |
1,623 |
$138K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,533 |
1,380 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,528 |
2,972 |
$114K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,087 |
912 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,261 |
1,115 |
$64K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,286 |
2,193 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,029 |
944 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
284 |
281 |
$24K |
| 90670 |
|
797 |
738 |
$830.05 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
56 |
40 |
$671.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
63 |
$556.00 |
| 90648 |
|
433 |
401 |
$108.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
13 |
$89.28 |
| 90710 |
|
160 |
153 |
$62.00 |
| 90633 |
|
154 |
140 |
$42.00 |
| 97803 |
|
2,201 |
2,052 |
$32.00 |
| 90680 |
|
246 |
231 |
$30.00 |
| 90734 |
|
13 |
13 |
$22.00 |
| 90723 |
|
204 |
196 |
$20.00 |
| 90700 |
|
21 |
12 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,361 |
2,008 |
$0.00 |
| 90696 |
|
15 |
14 |
$0.00 |
| 90697 |
|
15 |
15 |
$0.00 |