| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,521 |
1,271 |
$62K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,044 |
589 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
382 |
347 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
174 |
170 |
$13K |
| 90461 |
|
601 |
336 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
368 |
229 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
26 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 81000 |
|
384 |
359 |
$1K |
| 90688 |
|
229 |
188 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$840.00 |
| 90670 |
|
62 |
57 |
$195.00 |
| 85018 |
|
38 |
38 |
$84.89 |
| 90687 |
|
72 |
57 |
$38.99 |
| 90698 |
|
16 |
13 |
$0.00 |